Organization Active NPI

New Lynk, LLC

Doing business as E- Lynk Pharmacy

  • Community/Retail Pharmacy
  • Jacksonville, FL
National Provider Identifier
1033565585
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH30120 Issued in FL
Legal business name
NEW LYNK, LLC
Doing business as
E- Lynk Pharmacy
Practice address
5800 Beach Blvd Ste 105
Jacksonville, FL 32207-5180
Phone
(904) 374-9334
Fax
(904) 374-9309
NPI assigned
May 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Authorized official

Name
Mr. Emmanuel Dorvlo
Title
Owner
Phone
(904) 374-9334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH30120 FL Primary

Addresses

Primary practice location

5800 Beach Blvd Ste 105
Jacksonville, FL 32207-5180

Mailing address

5800 Beach Blvd Ste 105
Jacksonville, FL 32207-5180
Phone (904) 374-9334

Other identifiers 1

IdentifierTypeStateIssuer
019153500MedicaidFL

Other names 1

  • E- Lynk Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

5800 Beach Blvd
Ste 105
Jacksonville, FL 32207
Phone (904) 374-9334

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": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1033565585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 BEACH BLVD STE 105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075180",
            "telephone_number": "904-374-9334",
            "fax_number": "904-374-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 BEACH BLVD STE 105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075180",
            "telephone_number": "904-374-9334",
            "fax_number": "904-374-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LYNK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "DORVLO",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-374-9334",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH30120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019153500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E- Lynk Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "E- Lynk Pharmacy",
            "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 Mar 2, 2022; 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.