NPIMap

Organization Active NPI

Consolidated Pharmacy Services

Doing business as Walk of Hope Boutiqe

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
National Provider Identifier
1013126978
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5698230001 Issued in FL
Legal business name
CONSOLIDATED PHARMACY SERVICES
Doing business as
Walk of Hope Boutiqe
Practice address
2 Shircliff Way
Suite 205
Jacksonville, FL 32204-4753
Phone
(904) 308-7220
Fax
(904) 308-7234
NPI assigned
May 21, 2007
Organization subpart
Yes
Parent organization
CONSOLIDATED PHARMACY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Donnie Romine
Title
System Coo
Phone
(904) 308-1290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5698230001 FL Primary

Addresses

Primary practice location

2 Shircliff Way
Suite 205
Jacksonville, FL 32204-4753

Mailing address

2 Shircliff Way
Suite 205
Jacksonville, FL 32204-4753
Phone (904) 308-7220

Other names 1

  • Walk of Hope Boutiqe Doing business as

National Provider Directory

National Provider Directory
Part of
Consolidated Pharmacy Services

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

2 Shircliff Way
Ste 205
Jacksonville, FL 32204
Phone (904) 308-7220

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1013126978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SHIRCLIFF WAY",
            "address_2": "SUITE 205",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044753",
            "telephone_number": "904-308-7220",
            "fax_number": "904-308-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHIRCLIFF WAY",
            "address_2": "SUITE 205",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044753",
            "telephone_number": "904-308-7220",
            "fax_number": "904-308-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSOLIDATED PHARMACY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONSOLIDATED PHARMACY SERVICES",
        "enumeration_date": "2007-05-21",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "ROMINE",
        "authorized_official_first_name": "DONNIE",
        "authorized_official_title_or_position": "SYSTEM COO",
        "authorized_official_telephone_number": "904-308-1290"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "5698230001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walk of Hope Boutiqe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.