North Florida Pharmacy of Madison Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH22887 Issued in FL

Legal business name

NORTH FLORIDA PHARMACY OF MADISON INC.

Practice address

139 SW Macon St
Madison, FL 32340

Phone

(850) 973-8120

NPI assigned

Sep 17, 2007

Organization subpart

No

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

Authorized official

Name

Joel E Rosenfeld, PHARMACIST

Title

Owner

Phone

(386) 758-6770

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Christie Bradfield, PHARMD

  • Pharmacist
  • Madison, FL
  • NPI 1225616303
  NPD
• Jemille R Olive, PHARMD

  • Pharmacist
  • Madison, FL
  • NPI 1730347568
  NPD (past)

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1306032073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 SW MACON STREET",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323402319",
            "telephone_number": "850-973-8120",
            "fax_number": "850-973-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 SW MACON ST",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "32340",
            "telephone_number": "850-973-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA PHARMACY OF MADISON INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "ROSENFELD",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-758-6770",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PH22887",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH22887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032228800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032228801",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrett Norman, APRN
• Charles Lee Norris
• North Florida Elite Transit
• North Florida Medical Centers, Inc.
• North Florida Medical Centers, Inc.
• Chelsy Okuma, PHARMD
• Jemille R Olive, PHARMD
• Orthodox Catholic Healthcare Services Inc
• Theresa Blaine Baker Payne, D.O.
• Peacock Investment Enterprises

• 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 Jun 4, 2024; 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.