NPIMap

Organization Active NPI

Florida Agriculture and Mechanical University

  • Clinic/Center
  • Tallahassee, FL
National Provider Identifier
1275722308
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
PH21824 Issued in FL
Legal business name
FLORIDA AGRICULTURE AND MECHANICAL UNIVERSITY
Practice address
438 W Brevard St
Suite 11
Tallahassee, FL 32301-1004
Phone
(850) 412-5490
Fax
(850) 412-5491
NPI assigned
Oct 15, 2007
Organization subpart
Yes
Parent organization
FLORIDA AGRICULTURE AND MECHANICAL UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Marlon Honeywell, PHARM.D.
Title
Associate Dean/Professor
Phone
(850) 599-3301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X PH21824 FL Primary

Addresses

Primary practice location

438 W Brevard St
Suite 11
Tallahassee, FL 32301-1004

Mailing address

438 W Brevard St
Suite 11
Tallahassee, FL 32301-1004
Phone (850) 412-5490

Other identifiers 1

IdentifierTypeStateIssuer
PH21824OtherFLPHARMACY LICENSE

Other names 1

  • FAMU Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fla a and M University Student HLTH Phcy5 organizations share this tax ID, including this one
Part of
Fla a and M University Student HLTH Phcy

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

438 W Brevard St
Rm 11
Tallahassee, FL 32301
Phone (850) 412-5490

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1275722308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 W BREVARD ST",
            "address_2": "SUITE 11",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323011004",
            "telephone_number": "850-412-5490",
            "fax_number": "850-412-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 W BREVARD ST",
            "address_2": "SUITE 11",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323011004",
            "telephone_number": "850-412-5490",
            "fax_number": "850-412-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA AGRICULTURE AND MECHANICAL UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA AGRICULTURE AND MECHANICAL UNIVERSITY",
        "enumeration_date": "2007-10-15",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "HONEYWELL",
        "authorized_official_first_name": "MARLON",
        "authorized_official_title_or_position": "ASSOCIATE DEAN/PROFESSOR",
        "authorized_official_telephone_number": "850-599-3301",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "PH21824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PH21824",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMU Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.