Seaside Family Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH21889 Issued in FL

Legal business name

SEASIDE FAMILY PHARMACY LLC

Doing business as

Seaside Family Pharmacy

Practice address

4075 A1A S
Ste 102
St Augustine, FL 32080-6773

Phone

(904) 461-3299

Fax

(904) 461-3277

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

James Pennington, RPH

Title

Co Owner

Phone

(904) 461-3299

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SEASIDE FAMILY PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1245283423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 A1A S",
            "address_2": "STE 102",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806773",
            "telephone_number": "904-461-3299",
            "fax_number": "904-461-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 A1A S",
            "address_2": "STE 102",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806773",
            "telephone_number": "904-461-3299",
            "fax_number": "904-461-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "904-461-3299",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH21889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031351200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1018301",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEASIDE FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sea Hope Strategies LLC
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• Iain Searcy
• Lorraine M Searle, CNM
• Thomas Searle, M.D.
• Seaside Nutrition LLC
• Jennifer Seda Ramirez, M.D.
• Kayley Seda
• Sedona Enterprises
• Karen Gail Selig, L.M.F.T.

• Community/Retail Pharmacy in St Augustine, FL
• Providers in St Augustine, 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 6, 2012; 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.