Organization Active NPI

A1A Pharmacy, LLC

  • Community/Retail Pharmacy
  • Ponte Vedra Beach, FL
National Provider Identifier
1023405545
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
29038 Issued in FL
Legal business name
A1A PHARMACY, LLC
Practice address
200C Solana Rd
Ponte Vedra Beach, FL 32082-2232
Phone
(904) 318-2515
NPI assigned
Apr 22, 2015
Last updated
Apr 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Mr. Richard Jay Griffin, RPH
Title
Owner
Phone
(904) 318-2515

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 29038 FL Primary
Compounding Pharmacy 3336C0004X 29038 FL

Addresses

Primary practice location

200C Solana Rd
Ponte Vedra Beach, FL 32082-2232

Mailing address

200C Solana Rd
Ponte Vedra Beach, FL 32082-2232
Phone (904) 318-2515

National Provider Directory

National Provider Directory

Locations

200C Solana Rd
Ponte Vedra Beach, FL 32082
Phone (904) 318-2515

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1023405545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200C SOLANA RD",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822232",
            "telephone_number": "904-318-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200C SOLANA RD",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822232",
            "telephone_number": "904-318-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A1A PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-318-2515",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "29038",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "FL",
            "license": "29038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.