CPMS Florida Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH31343 Issued in FL

Legal business name

CPMS FLORIDA PHARMACY LLC

Doing business as

First Community Pharmacy

Practice address

2775 Old Winter Garden Rd
Ocoee, FL 34761-2995

Phone

(407) 656-0641

Fax

(407) 656-0643

NPI assigned

Mar 8, 2018

Last updated

Jul 19, 2018By 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

Scott WolakNPI 1639768468

Title

President and Ceo

Phone

(203) 518-1146

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• FIRST COMMUNITY PHARMACY Doing business as

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.

• Scott Wolak, RPH

  • Pharmacist
  • Norwalk, CT
  • NPI 1639768468
  Authorized official Same address or phone

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1235631912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BISHOP RD",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064781597",
            "telephone_number": "203-518-1146",
            "fax_number": "203-828-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 OLD WINTER GARDEN RD",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612995",
            "telephone_number": "407-656-0641",
            "fax_number": "407-656-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPMS FLORIDA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "WOLAK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "203-518-1146"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH31343",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175315",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRST COMMUNITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Marie Court
• Jacob Lawson Cox, M.D.
• Sherry Lee Cox, LCSW
• William K Cox, M.D.
• William Sanford Cox, M.D.
• Rosemarie Crenshaw, LCSW
• Cristina Sandoval OD
• Rodsheka Crittenden, PHARMD
• Ginny Lynn Crook
• Anne A Crosby, CRNA

• Pharmacy in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.