North Florida Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH15487 Issued in FL

Legal business name

NORTH FLORIDA PHARMACY, INC.

Doing business as

North Florida Pharmacy, Inc.

Practice address

3718 W US Highway 90
Lake City, FL 32055-4897

Phone

(386) 755-9300

Fax

(386) 755-9371

NPI assigned

Aug 7, 2006

Last updated

Nov 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joel Rosenfeld

Title

Owner

Phone

(386) 758-9300

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• North Florida Pharmacy, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• North Florida Pharmacy, Inc.

  dba North Florida Pharmacy

  • Community/Retail Pharmacy
  • Lake City, FL
  • NPI 1790795581

  O20120111000929

  Same enrollment

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• North Florida Pharmacy of Fort White Inc

  • Community/Retail Pharmacy
  • Fort White, FL
  • NPI 1043414782

  Member Of

  NPD member
• Old Town Pharmacy Inc

  • Community/Retail Pharmacy
  • Old Town, FL
  • NPI 1568874626

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1194734038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3718 W US HIGHWAY 90",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554897",
            "telephone_number": "386-755-9300",
            "fax_number": "386-755-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3718 W US HIGHWAY 90",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554897",
            "telephone_number": "386-755-9300",
            "fax_number": "386-755-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "ROSENFELD",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-758-9300"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PH15487",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH15487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106155100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1081025",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "106155101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Florida Pharmacy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Florida Pharmacy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Florida Medical Sales & Rentals Inc.
• North Florida Mental Health and Wellness Center
• North Florida Neurodiagnostics, LLC
• North Florida Pediatrics, PA
• North Florida Pediatrics, PA.
• North Florida Pharmacy, Inc. (North Florida Pharmacy #2 LTC)
• North Florida Pharmacy, Inc. (North Florida Pharmacy)
• North Florida Primary Care PLLC
• North Florida Radiation Oncology (HCA Florida North Florida Cancer Center)
• North Florida Rehabilitation, Inc.

• Community/Retail Pharmacy in Lake City, FL
• Providers in Lake City, 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 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.