NPIMap

Organization Active NPI

Bruno'S Supermarkets, LLC.

  • Community/Retail Pharmacy
  • Pensacola, FL
National Provider Identifier
1013022219
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BRUNO'S SUPERMARKETS, LLC.
Practice address
4320 Lillian Hwy
Pensacola, FL 32506-4217
Phone
(850) 453-6525
Fax
(850) 453-4155
NPI assigned
Aug 20, 2006
Organization subpart
Yes
Parent organization
BRUNO'S SUPERMARKETS, LLC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Curtis Hartin
Title
Sr. Director of Pharmacy
Phone
(864) 213-2584

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 17059 FL
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

4320 Lillian Hwy
Pensacola, FL 32506-4217

Mailing address

PO Box 99
Mauldin, SC 29662-0099
Phone (864) 213-2587

Other identifiers 1

IdentifierTypeStateIssuer
1080085OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • Food World Pharmacy #142 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bruno'S Supermarket LLC8 organizations share this tax ID, including this one
Part of
Bruno'S Supermarket LLC

Other organizations with this tax ID 7

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

Locations

4320 Lillian Hwy
Pensacola, FL 32506
Phone (850) 453-6525

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1013022219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296620099",
            "telephone_number": "864-213-2587",
            "fax_number": "864-213-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 LILLIAN HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325064217",
            "telephone_number": "850-453-6525",
            "fax_number": "850-453-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNO'S SUPERMARKETS, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRUNO'S SUPERMARKETS, LLC.",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "HARTIN",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "SR. DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "864-213-2584"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "17059",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1080085",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Food World Pharmacy #142",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.