Welaka Pharmacy, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH16228 Issued in FL

Legal business name

WELAKA PHARMACY, LLC

Practice address

698 Third Avenue
Welaka, FL 32193-0780

Phone

(386) 467-9994

Fax

(386) 467-3112

NPI assigned

Dec 23, 2005

Last updated

Feb 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Long

Title

V.P.

Phone

(386) 698-3737

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1073590717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780",
            "city": "WELAKA",
            "state": "FL",
            "postal_code": "321930780",
            "telephone_number": "386-467-9994",
            "fax_number": "386-467-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 THIRD AVENUE",
            "city": "WELAKA",
            "state": "FL",
            "postal_code": "321930780",
            "telephone_number": "386-467-9994",
            "fax_number": "386-467-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELAKA PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "V.P.",
        "authorized_official_telephone_number": "386-698-3737",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH16228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "P7787",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106512200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rural Health Care Incorporated (Aza Health)
• Shirley Adams Dba Five Oaks Rest Home
• Merni T Stringfellow, ARNP
• Welaka Clinic Inc
• Welaka Pharmacy LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.