Organization Active NPI

Eastwood Pharmacy Inc

  • Community/Retail Pharmacy
  • Tallahassee, FL
National Provider Identifier
1235278169
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH2730 Issued in FL
Legal business name
EASTWOOD PHARMACY INC
Practice address
1605 E Plaza Drive
Tallahassee, FL 32308
Phone
(850) 877-7108
Fax
(850) 656-9318
NPI assigned
Feb 6, 2007
Last updated
Oct 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Authorized official

Name
Anna Pawelczyk, PHARMDNPI 1407234560
Title
Owner
Phone
(850) 877-7108

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH2730 FL Primary

Addresses

Primary practice location

1605 E Plaza Drive
Tallahassee, FL 32308

Mailing address

1605 E Plaza Dr
Tallahassee, FL 32308-5339
Phone (850) 877-7108

Other identifiers 1

IdentifierTypeStateIssuer
104422200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221128002477 FL Part B Supplier - Pharmacy 7012385834 Practice locations: Tallahassee, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2329580Eastwood Pharmacy1605 E Plaza Drive, Tallahassee, FL 32308Certificate of waiverSep 1, 2027

National Provider Directory

National Provider Directory

Locations

1605 E Plaza Dr
Tallahassee, FL 32308
Phone (850) 877-7108

Practitioners & affiliated clinicians

Practitioners 1

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1235278169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 E PLAZA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085339",
            "telephone_number": "850-877-7108",
            "fax_number": "850-656-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 E PLAZA DRIVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-877-7108",
            "fax_number": "850-656-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTWOOD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "PAWELCZYK",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-877-7108",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH2730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104422200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.