Olde Time Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

OLDE TIME PHARMACY, LLC

Practice address

4766 Golden Gate Pkwy
Unit 5
Naples, FL 34116-6984

Phone

(239) 293-1565

NPI assigned

Apr 29, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Paul A Mey, RPH.

Title

Owner/Pharmacist

Phone

(239) 293-1565

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1124463583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4766 GOLDEN GATE PKWY",
            "address_2": "UNIT 5",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341166984",
            "telephone_number": "239-293-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4766 GOLDEN GATE PKWY",
            "address_2": "UNIT 5",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341166984",
            "telephone_number": "239-293-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLDE TIME PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "MEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "239-293-1565",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Tomas Ojeda, MD
• Thomas Luke Okner, MD
• Olde Naples Chiropractic Health Center, Inc.
• Olde Naples Nuviva Medical Weight Loss Inc
• Olde Naples Therapy Center LLC
• James Arthur Oleary, MD
• Salomon Olivas Palma Sr.
• Julia Elizabeth Olivastro, NP
• Mairelys Elvira Olivera Trujillo, APRN-FNP-C
• Susan Marie Olsen Godoy

• Community/Retail Pharmacy in Naples, FL
• Providers in Naples, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.