Active NPI
Daytona Peoples Pharmacy LLC
- Pharmacy
- Daytona Beach, FL
National Provider Identifier
1124658935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- DAYTONA PEOPLES PHARMACY LLC
- Practice address
- 968 Orange Ave
Daytona Beach, FL 32114-4667 - Phone
- (386) 888-7500
- Fax
- (386) 888-7501
- NPI assigned
- Jan 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Akinyemi Bakare, RPH
- Title
- MGR
- Phone
- (386) 888-7500
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X | |||
| Mail Order Pharmacy | 3336M0002X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
968 Orange Ave
Daytona Beach, FL 32114-4667
Mailing address
968 Orange Ave
Daytona Beach, FL 32114-4667
Phone (386) 888-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH32526 | Other | FL | FLORIDA DEPARTMENT OF HEALTH |
Other names 1
- Daytona Peoples Pharmacy
National Provider Directory
National Provider DirectoryLocations
968 Orange Ave
Daytona Beach, FL 32114
Phone (386) 258-8171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579564800000",
"number": "1124658935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "968 ORANGE AVE",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321144667",
"telephone_number": "386-888-7500",
"fax_number": "386-888-7501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "968 ORANGE AVE",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321144667",
"telephone_number": "386-888-7500",
"fax_number": "386-888-7501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAYTONA PEOPLES PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-21",
"last_updated": "2020-01-21",
"certification_date": "2020-01-21",
"status": "A",
"authorized_official_last_name": "BAKARE",
"authorized_official_first_name": "AKINYEMI",
"authorized_official_title_or_position": "MGR",
"authorized_official_telephone_number": "386-888-7500",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA DEPARTMENT OF HEALTH",
"identifier": "PH32526",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Daytona Peoples Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.