NPIMap

Organization Active NPI

Atkinsons Mart Inc

Doing business as Atkinson's Hospital Pharmacy

  • Community/Retail Pharmacy
  • Orange Park, FL
National Provider Identifier
1265500672
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH17156 Issued in FL
Legal business name
ATKINSONS MART INC
Doing business as
Atkinson's Hospital Pharmacy
Practice address
1994 Kingsley Ave
Orange Park, FL 32073-4442
Phone
(904) 298-0873
NPI assigned
Dec 1, 2006
Last updated
Jul 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Dr. Kelly Webster DavisNPI 1831392125
Title
Pharmacy Director
Phone
(904) 298-0873

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X PH17156 FL Primary
Compounding Pharmacy 3336C0004X PH28421 FL

Addresses

Primary practice location

1994 Kingsley Ave
Orange Park, FL 32073-4442

Mailing address

1994 Kingsley Ave Ste a
Orange Park, FL 32073-4465
Phone (904) 298-0873

Other identifiers 1

IdentifierTypeStateIssuer
101585100MedicaidFL

Other names 1

  • ATKINSON'S HOSPITAL PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1994 Kingsley Ave
Orange Park, FL 32073
Phone (904) 298-0873

1994 Kingsley Ave
Ste A
Orange Park, FL 32073
Phone (904) 298-0873

Practitioners & affiliated clinicians

Practitioners 3

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1265500672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1994 KINGSLEY AVE STE A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734465",
            "telephone_number": "904-298-0873",
            "fax_number": "904-272-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1994 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734442",
            "telephone_number": "904-298-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATKINSONS MART INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "WEBSTER",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "904-298-0873",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH17156",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "FL",
            "license": "PH28421",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101585100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATKINSON'S HOSPITAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ATKINSON'S HOSPITAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.