NPIMap

Organization Active NPI

Westlab Pharmacy Inc

Doing business as Westlab Pharmacy

  • Community/Retail Pharmacy
  • Gainesville, FL
National Provider Identifier
1235174400
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH27985 Issued in FL
Legal business name
WESTLAB PHARMACY INC
Doing business as
Westlab Pharmacy
Practice address
4410 W Newberry Rd
Ste A5
Gainesville, FL 32607-5200
Phone
(352) 373-8111
Fax
(352) 373-8009
NPI assigned
Jun 19, 2006
Last updated
Mar 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Authorized official

Name
Prince Hinson, RPHNPI 1316285851
Title
Owner and MGR
Phone
(352) 373-8111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PH27985 FL Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

4410 W Newberry Rd
Ste A5
Gainesville, FL 32607-5200

Mailing address

4410 W Newberry Rd
Ste A5
Gainesville, FL 32607-5200
Phone (352) 373-8111

Other identifiers 2

IdentifierTypeStateIssuer
101695400MedicaidFL
2011298OtherPK

Other names 1

  • WESTLAB PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

4410 Newberry Rd
Ste A5
Gainesville, FL 32607
Phone (352) 373-8111

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1235174400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 W NEWBERRY RD",
            "address_2": "STE A5",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326075200",
            "telephone_number": "352-373-8111",
            "fax_number": "352-373-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 W NEWBERRY RD",
            "address_2": "STE A5",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326075200",
            "telephone_number": "352-373-8111",
            "fax_number": "352-373-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAB PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "HINSON",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_title_or_position": "OWNER AND MGR",
        "authorized_official_telephone_number": "352-373-8111",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH27985",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101695400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2011298",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTLAB PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.