Active NPI
Gary Allen Perkins
- Pharmacist
- Santa Rosa Beach, FL
National Provider Identifier
1144735200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS47629
- Practice address
- 2038 US Highway 98 W
Santa Rosa Beach, FL 32459-5322 - Phone
- (850) 267-0582
- NPI assigned
- Dec 11, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS47629 | FL | Primary |
Addresses
Primary practice location
2038 US Highway 98 W
Santa Rosa Beach, FL 32459-5322
Mailing address
2038 US Highway 98 W
Santa Rosa Beach, FL 32459-5322
Phone (850) 267-0582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS47629 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512950400000",
"number": "1144735200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2038 US HIGHWAY 98 W",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324595322",
"telephone_number": "850-267-0582",
"fax_number": "850-267-0582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2038 US HIGHWAY 98 W",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324595322",
"telephone_number": "850-267-0582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "GARY",
"middle_name": "ALLEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-11",
"last_updated": "2017-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS47629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.