Southpoint Pharmacy SVCS Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH22399 Issued in FL

Legal business name

SOUTHPOINT PHARMACY SVCS INC

Practice address

6817 Southpoint Pkwy
Ste 1702
Jacksonville, FL 32216-6282

Phone

(904) 296-9145

Fax

(904) 296-9146

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Nellie Borba Nassirou, RPHNPI 1780750521

Title

President

Phone

(904) 894-9565

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nellie N Borba-Nassirou, RPH

  • Pharmacist
  • Jacksonville, FL
  • NPI 1780750521
  NPD (past) Authorized official

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1003977174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY",
            "address_2": "STE 1702",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166282",
            "telephone_number": "904-296-9145",
            "fax_number": "904-296-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY",
            "address_2": "STE 1702",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166282",
            "telephone_number": "904-296-9145",
            "fax_number": "904-296-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHPOINT PHARMACY SVCS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "BORBA NASSIROU",
        "authorized_official_first_name": "NELLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-894-9565",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH22399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1023706",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Sky Outpatient Detox, LLC
• Tonjameka R Southern, RN
• Southpoint Anesthesia LLC
• Southpoint Cardiology Associates
• Southpoint Drive East Opco LLC
• Southpoint Plastic Surgery Associates
• Southpoint Star LLC
• Southpoint Surgery Center
• Southpoint Surgery Center, LLC
• Southside Aspen PLLC

• Community/Retail Pharmacy in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.