Organization Active NPI

Atkinsons Mart Inc

  • Long Term Care Pharmacy
  • Orange Park, FL
National Provider Identifier
1073512430
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PH2425 Issued in FL
Legal business name
ATKINSONS MART INC
Practice address
100 Old Orange Park Rd
Orange Park, FL 32073-3003
Phone
(904) 264-7578
Fax
(904) 269-8079
NPI assigned
Jul 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Robert Allen
Title
President
Phone
(904) 264-7578

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X PH2425 FL Primary

Addresses

Primary practice location

100 Old Orange Park Rd
Orange Park, FL 32073-3003

Mailing address

100 Old Orange Park Rd
Orange Park, FL 32073-3003
Phone (904) 264-7578

Other identifiers 2

IdentifierTypeStateIssuer
102195800MedicaidFL
2008643OtherPK

Other names 1

  • ATKINSONS HEALTHCARE Doing business as

National Provider Directory

National Provider Directory

Locations

100 Old Orange Park Rd
Orange Park, FL 32073
Phone (904) 264-7578

4265 Eldridge Loop
Orange Park, FL 32073

Practitioners & affiliated clinicians

Practitioners 2

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": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1073512430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OLD ORANGE PARK RD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320733003",
            "telephone_number": "904-264-7578",
            "fax_number": "904-269-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OLD ORANGE PARK RD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320733003",
            "telephone_number": "904-264-7578",
            "fax_number": "904-269-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATKINSONS MART INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-264-7578"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH2425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102195800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2008643",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATKINSONS HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.