L a D S Co. of North Florida

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH12077 Issued in FL

Legal business name

L A D S CO. OF NORTH FLORIDA

Doing business as

Norris Medical Compounding Lab

Practice address

140 SW Range Ave
Madison, FL 32340-2457

Phone

(850) 973-2222

NPI assigned

Mar 22, 2007

Last updated

Aug 22, 2020By 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

Mr. Charles Lee Norris

Title

Vice President

Phone

(850) 973-2222

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Norris Medical Compounding Lab Doing business as

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275659757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323410509",
            "telephone_number": "850-973-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SW RANGE AVE",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323402457",
            "telephone_number": "850-973-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L A D S CO. OF NORTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "850-973-2222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH12077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1068166",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norris Medical Compounding Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Priscilla Michelle Jones
• Kristen Charmaine Kennedy
• Tamera Reshonda King, BSN, RN
• Chase Knight
• Christopher Gabriel Krell, LPC
• Lake Park Nursing & Rehab Center LLC
• Lake Park of Madison, LLC (Lake Park of Madison)
• Lake Park Operations, LLC
• Logan G Langley, PA-C
• Richard Michael Laubaugh, M.D.

• Community/Retail Pharmacy in Madison, FL
• Providers in Madison, 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 Aug 22, 2020; 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.