Organization Active NPI

Accardi Clinical Services Inc

  • Institutional Pharmacy
  • Orange City, FL
National Provider Identifier
1306005186
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
PH16425 Issued in FL
Legal business name
ACCARDI CLINICAL SERVICES INC
Practice address
2583 S Volusia Ave
Ste 100
Orange City, FL 32763-9129
Phone
(386) 774-5800
Fax
(386) 774-5656
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Authorized official

Name
J Roger Accardi
Title
Owner
Phone
(386) 774-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X PH16425 FL Primary

Addresses

Primary practice location

2583 S Volusia Ave
Ste 100
Orange City, FL 32763-9129

Mailing address

2583 S Volusia Ave
Ste 100
Orange City, FL 32763-9129
Phone (386) 774-5800

Other identifiers 1

IdentifierTypeStateIssuer
1035307OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • ACCARDI CLINICAL PHARMACY Doing business as

National Provider Directory

National Provider Directory

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": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1306005186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2583 S VOLUSIA AVE",
            "address_2": "STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327639129",
            "telephone_number": "386-774-5800",
            "fax_number": "386-774-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2583 S VOLUSIA AVE",
            "address_2": "STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327639129",
            "telephone_number": "386-774-5800",
            "fax_number": "386-774-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCARDI CLINICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "ACCARDI",
        "authorized_official_first_name": "J ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-774-5800"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "FL",
            "license": "PH16425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1035307",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACCARDI CLINICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.