Extended Care Pharmacy, Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

Legal business name

EXTENDED CARE PHARMACY, INC.

Practice address

6400 Crill Ave
Palatka, FL 32177-3876

Phone

(386) 325-5505

Fax

(386) 328-9393

NPI assigned

Jun 28, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Mark Casey Phillips

Title

Vice President

Phone

(386) 325-5505

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Alan Edward Wingerter, PH

  • Pharmacist
  • Palatka, FL
  • NPI 1881933307
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1013913680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 CRILL AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773876",
            "telephone_number": "386-325-5505",
            "fax_number": "386-328-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 CRILL AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773876",
            "telephone_number": "386-325-5505",
            "fax_number": "386-328-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED CARE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CASEY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "386-325-5505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032497300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1088803",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saharra Eubanks
• Jessica Dare Evans
• Evolve Womens Healthcare
• Express Medical Imaging, LLC
• Express Urgent Care, LLC
• Rajini E Faircloth, MD
• Family Practice,Dr.Assefa LLC
• Khallad A Fares, M.D.
• Scott Thomas Fechter, D.C.
• Richard Y Feibelman, M.D.

• Pharmacist in Palatka, FL
• Providers in Palatka, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.