Active NPI
Total Care Medical, Inc.
- Community/Retail Pharmacy
- Tallahassee, FL
National Provider Identifier
1043379134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH18325
- Legal business name
- TOTAL CARE MEDICAL, INC.
- Practice address
- 2565 Capital Medical Blvd
Tallahassee, FL 32308-4423 - Phone
- (850) 219-0202
- Fax
- (850) 219-0282
- NPI assigned
- Dec 6, 2006
- 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
- Mr. Bobby M Vickers Jr.
- Title
- President
- Phone
- (850) 219-0202
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | PH18325 | FL | |
| Community/Retail Pharmacy | 3336C0003X | PH18325 | FL | Primary |
| Compounding Pharmacy | 3336C0004X | PH18325 | FL | |
| Home Infusion Therapy Pharmacy | 3336H0001X | PH18325 |
Addresses
Primary practice location
2565 Capital Medical Blvd
Tallahassee, FL 32308-4423
Mailing address
PO Box 14126
Tallahassee, FL 32317-4126
Phone (850) 219-0202
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026677901 | Medicaid | FL | |
| 1094844 | Other | FL | PHARMACY NCPDP |
| 026677900 | Medicaid | FL | |
| P8236 | Other | FL | BCBS |
Other names 1
- Total Homecare Solutions
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276560000000",
"number": "1043379134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14126",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323174126",
"telephone_number": "850-219-0202",
"fax_number": "850-219-0282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2565 CAPITAL MEDICAL BLVD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084423",
"telephone_number": "850-219-0202",
"fax_number": "850-219-0282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL CARE MEDICAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2010-06-15",
"status": "A",
"authorized_official_last_name": "VICKERS",
"authorized_official_first_name": "BOBBY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "850-219-0202",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "FL",
"license": "PH18325",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH18325",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "FL",
"license": "PH18325",
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": "PH18325",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "026677901",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY NCPDP",
"identifier": "1094844",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "026677900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "P8236",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Total Homecare Solutions",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.