Optimum Care Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH27154 Issued in FL

Legal business name

OPTIMUM CARE PHARMACY

Practice address

2405 E Moody Blvd
Bunnell, FL 32110-5985

Phone

(386) 627-8595

NPI assigned

Nov 4, 2013

Organization subpart

No

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

Authorized official

Name

Flora Ndum, PHARMDNPI 1659642122

Title

Owner/Manager

Phone

(386) 627-8595

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Flora Ndum

  • Pharmacist
  • Palm Coast, FL
  • NPI 1659642122
  NPD (past) Authorized official

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1194154831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WARREN PL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321647659",
            "telephone_number": "386-627-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 E MOODY BLVD",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321105985",
            "telephone_number": "386-627-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM CARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "NDUM",
        "authorized_official_first_name": "FLORA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "386-627-8595",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PH27154",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH27154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Murgolo, LMHC
• Nationwide Medical Supply, LLC
• Amy Lynn Nelson, DPT
• Elizabeth Ann Oldham, LMT, FS, RCA
• Steven William Oliver, D.C.
• Our Docs Care Bunnell LLC
• Palm Coast Chiropractic Center, Jta Inc
• Deborah Anne Panchella, ARNP
• Stacey Jeanne Pappas, M.D.
• Pathfinder Advocacy Center

• Community/Retail Pharmacy in Bunnell, FL
• Providers in Bunnell, 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 4, 2013; 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.