Organization Active NPI

Western Florida Pharmacy LLC

  • Compounding Pharmacy
  • Pensacola, FL
National Provider Identifier
1245647627
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
PH28320 Issued in FL
Legal business name
WESTERN FLORIDA PHARMACY LLC
Doing business as
Western Florida Pharmacy,LLC
Practice address
5001 Commerce Park Cir
Suite B
Pensacola, FL 32505-1659
Phone
(850) 266-9282
NPI assigned
Jul 17, 2014
Last updated
Nov 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Authorized official

Name
William Chandler
Title
Coo
Phone
(251) 510-7466

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU
Compounding Pharmacy 3336C0004X PH28320 FL Primary

Addresses

Primary practice location

5001 Commerce Park Cir
Suite B
Pensacola, FL 32505-1659

Mailing address

5001 Commerce Park Cir
Suite B
Pensacola, FL 32505-1659
Phone (850) 266-9282

Other identifiers 1

IdentifierTypeStateIssuer
2146876OtherPK

Other names 1

  • Western Florida Pharmacy,LLC Doing business as

National Provider Directory

National Provider Directory

Locations

5001 Commerce Park Cir
Ste B
Pensacola, FL 32505
Phone (850) 266-9282

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1245647627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 COMMERCE PARK CIR",
            "address_2": "SUITE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325051659",
            "telephone_number": "850-266-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 COMMERCE PARK CIR",
            "address_2": "SUITE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325051659",
            "telephone_number": "850-266-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN FLORIDA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "251-510-7466"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "FL",
            "license": "PH28320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146876",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Florida Pharmacy,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.