NPIMap

Organization Active NPI

Bond Community Health Center Inc

  • Clinic Pharmacy
  • Tallahassee, FL
National Provider Identifier
1003130840
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PH24528 Issued in FL
Legal business name
BOND COMMUNITY HEALTH CENTER INC
Practice address
1720 S Gadsden St
Tallahassee, FL 32301-5506
Phone
(850) 521-5112
Fax
(850) 521-5108
NPI assigned
Mar 23, 2010
Organization subpart
Yes
Parent organization
BOND COMMUNITY HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Bernard Goodmaan
Title
Ceo
Phone
(850) 576-4073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X PH24528 FL Primary

Addresses

Primary practice location

1720 S Gadsden St
Tallahassee, FL 32301-5506

Mailing address

1720 S Gadsden St
Tallahassee, FL 32301-5506
Phone (850) 521-5112

Other names 1

  • YouRx Patient Pharmacy at BONDCHC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bond Community Health Center5 organizations share this tax ID, including this one
Part of
Bond Community Health Center

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1003130840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S GADSDEN ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323015506",
            "telephone_number": "850-521-5112",
            "fax_number": "850-521-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S GADSDEN ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323015506",
            "telephone_number": "850-521-5112",
            "fax_number": "850-521-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOND COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOND COMMUNITY HEALTH CENTER, INC.",
        "enumeration_date": "2010-03-23",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "GOODMAAN",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-576-4073",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "FL",
            "license": "PH24528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YouRx Patient Pharmacy at BONDCHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.