Organization Active NPI

Gulf Shore Apothecary LLC

  • Community/Retail Pharmacy
  • Naples, FL
National Provider Identifier
1174821185
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH25298 Issued in FL
Legal business name
GULF SHORE APOTHECARY LLC
Practice address
1400 Gulf Shore Blvd N
Suite 100
Naples, FL 34102-4968
Phone
(239) 262-2222
Fax
(239) 262-8943
NPI assigned
Mar 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
John Atkinson
Title
Pres
Phone
(239) 262-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH25298 FL Primary

Addresses

Primary practice location

1400 Gulf Shore Blvd N
Suite 100
Naples, FL 34102-4968

Mailing address

1400 Gulf Shore Blvd N
Suite 100
Naples, FL 34102-4968
Phone (239) 262-2222

Other identifiers 1

IdentifierTypeStateIssuer
5706912OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • GULF SHORE APOTHECARY Doing business as

National Provider Directory

National Provider Directory

Locations

1400 Gulf Shore Blvd N
Ste 100
Naples, FL 34102
Phone (239) 262-2222

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1174821185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 GULF SHORE BLVD N",
            "address_2": "SUITE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341024968",
            "telephone_number": "239-262-2222",
            "fax_number": "239-262-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 GULF SHORE BLVD N",
            "address_2": "SUITE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341024968",
            "telephone_number": "239-262-2222",
            "fax_number": "239-262-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF SHORE APOTHECARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "239-262-2222"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5706912",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GULF SHORE APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.