Santa Rosa Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH19512 Issued in FL

Legal business name

SANTA ROSA PHARMACY, INC.

Practice address

19 Town Center Loop
Unit 1a
Santa Rosa Beach, FL 32459

Phone

(850) 622-3313

Fax

(850) 622-3255

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. George Thomas Flowers, RPH

Title

Pres.

Phone

(850) 622-3313

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1154426070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 TOWN CENTER LOOP",
            "address_2": "UNIT 1A",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "32459",
            "telephone_number": "850-622-3313",
            "fax_number": "850-622-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 TOWN CENTER LOOP",
            "address_2": "UNIT 1A",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "32459",
            "telephone_number": "850-622-3313",
            "fax_number": "850-622-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ROSA PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "850-622-3313",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH19512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1001180",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elena Ryazhapova, PHARMD
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• Community/Retail Pharmacy in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, 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 Nov 16, 2007; 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.