Park & King Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH9341 Issued in FL

Legal business name

PARK & KING PHARMACY INC

Practice address

4163 Oxford Ave
Jacksonville, FL 32210-4425

Phone

(904) 389-6602

Fax

(904) 389-7062

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Greg Carter, BSRRT

Title

Owner

Phone

(904) 389-6602

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• PARK AND KING PHARMACY INC Doing business as

Locations

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1235237132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4163 OXFORD AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322104425",
            "telephone_number": "904-389-6602",
            "fax_number": "904-389-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4163 OXFORD AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322104425",
            "telephone_number": "904-389-6602",
            "fax_number": "904-389-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK & KING PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-389-6602",
        "authorized_official_credential": "BSRRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH9341",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2007375",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101775600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARK AND KING PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael A Parimucha, MD
• Trevor H Paris, M.D.
• Ashley Elyse Parise, MS, CCC-SLP
• Christin A Parise, ARNP
• Christine Lynn Parisen, LMHC
• Park Avenue Heart and Vascular Center LLC
• Debra M Park Burdon, RT
• Park Homecare Management,Inc
• Park Ridge Nursing & Rehab Center LLC
• Holly Hyunjung Park-Nah, DDS

• 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 Feb 2, 2015; 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.