Active NPI
One Source Pharmacy
- Health Maintenance Organization
- Orlando, FL
National Provider Identifier
1013287374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- RPT35003
- Legal business name
- ONE SOURCE PHARMACY
- Practice address
- 6404 Old Winter Garden Rd
Orlando, FL 32835-1348 - Phone
- (877) 490-8987
- NPI assigned
- Jan 4, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda E Golubic, CPHT
- Title
- Pharmacy Technician
- Phone
- (877) 490-8987
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | RPT35003 | FL | Primary |
Addresses
Primary practice location
6404 Old Winter Garden Rd
Orlando, FL 32835-1348
Mailing address
6404 Old Winter Garden Rd
Orlando, FL 32835-1348
Phone (877) 490-8987
National Provider Directory
National Provider DirectoryLocations
6404 Old Winter Garden Rd
Orlando, FL 32835
Phone (877) 490-8987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325635200000",
"number": "1013287374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6404 OLD WINTER GARDEN RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328351348",
"telephone_number": "877-490-8987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6404 OLD WINTER GARDEN RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328351348",
"telephone_number": "877-490-8987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONE SOURCE PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-04",
"last_updated": "2012-01-04",
"status": "A",
"authorized_official_last_name": "GOLUBIC",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PHARMACY TECHNICIAN",
"authorized_official_telephone_number": "877-490-8987",
"authorized_official_credential": "CPHT"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "FL",
"license": "RPT35003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.