Southeastern Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SOUTHEASTERN PHARMACY

Practice address

8081 Philips Hwy Ste 7
Jacksonville, FL 32256-7443

Phone

(904) 718-5631

NPI assigned

Apr 29, 2024

Organization subpart

No

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

Authorized official

Name

Karin E Lucas, RPH

Title

Manager

Phone

(904) 718-5631

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karin E Jones, RPH

  • Pharmacist
  • Jacksonville, FL
  • NPI 1265878862
  NPD

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1184470148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 PHILIPS HWY STE 7",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567443",
            "telephone_number": "904-718-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 PHILIPS HWY STE 7",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567443",
            "telephone_number": "904-718-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "KARIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-718-5631",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeastern Hand Center, P.a.
• Southeastern Hand Rehabilitation Inc
• Southeastern Hand Rehabilitation Inc.
• Southeastern Hearing Inc.
• Southeastern Neuroscience Institute PA
• Southeastern Retina Specialists, PA
• Cordecia Deshanae Southerland
• Nancy Southerland
• Southern Baptist Hospital
• Southern Baptist Hospital

• Community/Retail Pharmacy in Jacksonville, FL
• Providers in Jacksonville, 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 29, 2024; 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.