Vernon Discount Drug Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH11020 Issued in FL

Legal business name

VERNON DISCOUNT DRUG INC

Practice address

3248 Main St
Vernon, FL 32462-2223

Phone

(850) 535-2803

Fax

(850) 535-2803

NPI assigned

Dec 13, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Jack Gary Paul I

Title

Owner Pharmacist

Phone

(850) 535-2803

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063497972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505",
            "city": "VERNON",
            "state": "FL",
            "postal_code": "324620505",
            "telephone_number": "850-535-2803",
            "fax_number": "850-535-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3248 MAIN ST",
            "city": "VERNON",
            "state": "FL",
            "postal_code": "324622223",
            "telephone_number": "850-535-2803",
            "fax_number": "850-535-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON DISCOUNT DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "OWNER  PHARMACIST",
        "authorized_official_telephone_number": "850-535-2803",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH11020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael D Nissen, N.P.-C
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• Samuel E Ward MD PL

• Pharmacy in Vernon, FL
• Providers in Vernon, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.