North Florida Reception Center

Primary specialty

Institutional PharmacyTaxonomy code 3336I0012X

License

PH2387 Issued in FL

Legal business name

NORTH FLORIDA RECEPTION CENTER

Doing business as

North Florida Reception Center

Practice address

7765 S County Road 231
Dept of Corrections
Lake Butler, FL 32054-5721

Phone

(386) 496-6532

Fax

(386) 496-6081

NPI assigned

Sep 14, 2007

Last updated

Mar 13, 2015By 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

Susan Moulder, RPH

Title

Pharmacy Manager

Phone

(386) 496-6534

Specialties & licenses 2

Addresses

Other names 1

• NORTH FLORIDA RECEPTION CENTER Doing business as

Tax ID family

Florida Department of Corrections2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Polk Correctional Institution

  • Health Maintenance Organization
  • Polk City, FL
  • NPI 1679810972
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffery David Render, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Lake Butler, FL
  • NPI 1871564781
  NPD (past)

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1083809883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 628",
            "city": "LAKE BUTLER",
            "state": "FL",
            "postal_code": "320540628",
            "telephone_number": "386-496-6532",
            "fax_number": "386-496-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7765 S COUNTY ROAD 231",
            "address_2": "DEPT OF CORRECTIONS",
            "city": "LAKE BUTLER",
            "state": "FL",
            "postal_code": "320545721",
            "telephone_number": "386-496-6532",
            "fax_number": "386-496-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA RECEPTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "MOULDER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "386-496-6534",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "FL",
            "license": "PH2387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH FLORIDA RECEPTION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Nantz
• Ashley C Nelson
• New River Community Health Care, Inc
• Gloria Lynn Niquette, ARNP
• North Florida Medical Corp. (Union Medical Supply)
• Ashley Diane Osteen, DC
• Jamie Lynn Parrish, MSN, ARNP, FNP-C
• Amy Lee Pendleton
• Sandra Kay Pennington
• Perna Dental PLLC

• Institutional Pharmacy in Lake Butler, FL
• Providers in Lake Butler, FL by specialty
• Institutional Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.