Ocean Side Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

OCEAN SIDE PHARMACY

Practice address

1118 Colonnades Dr
Ft Pierce, FL 34949-3063

Phone

(772) 465-1118

Fax

(772) 465-2426

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Larrie David Seskin

Title

Owner

Phone

(772) 465-1118

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1104990621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 COLONNADES DR",
            "city": "FT PIERCE",
            "state": "FL",
            "postal_code": "349493063",
            "telephone_number": "772-465-1118",
            "fax_number": "772-465-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 COLONNADES DR",
            "city": "FT PIERCE",
            "state": "FL",
            "postal_code": "349493063",
            "telephone_number": "772-465-1118",
            "fax_number": "772-465-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN SIDE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "SESKIN",
        "authorized_official_first_name": "LARRIE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-465-1118",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102373000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Ft Pierce, FL
• Providers in Ft Pierce, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.