Pharmacist Formulations LLC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

PHARMACIST FORMULATIONS LLC

Practice address

6506 N Davis Hwy
Pensacola, FL 32504-6957

Phone

(850) 473-9190

NPI assigned

Sep 28, 2023

Organization subpart

No

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

Authorized official

Name

Brian Patrick Harrison, PHARMD

Title

V.P. of Pharmacy Operations

Phone

(704) 258-7076

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1104605120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6506 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046957",
            "telephone_number": "850-473-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6506 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046957",
            "telephone_number": "850-473-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACIST FORMULATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "V.P. OF PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "704-258-7076",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Jo Pham, ARNP, CNM
• Minh Cong Pham, M.D.
• Paul V Pham, PHARM D
• Susan Pham, NP
• Thu-Kim Phan, PHARMD, BCOP
• Joshua L Phelps
• Mary Kathryn Phelps
• Phyllis L Phelps, ARNP
• Vanessa Phelps, ARNP
• Phenomenal Love & Care Services, LLC

• Health & Wellness Coach in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Health & Wellness Coach in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.