First Choice Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH29342 Issued in FL

Legal business name

FIRST CHOICE PHARMACY LLC

Doing business as

First Choice Pharmacy, LLC.

Practice address

3208 Crill Ave Unit 2
Palatka, FL 32177-4159

Phone

(386) 219-1988

Fax

(386) 385-3148

NPI assigned

Apr 25, 2016

Last updated

Aug 19, 2016By 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

Satish Baddam, RPH

Title

Owner, Pic, Ao

Phone

(386) 219-1988

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• FIRST CHOICE PHARMACY, LLC. Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1306291679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N ARABELLA WAY",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322598022",
            "telephone_number": "904-708-1661",
            "fax_number": "904-800-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 CRILL AVE UNIT 2",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774159",
            "telephone_number": "386-219-1988",
            "fax_number": "386-385-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "BADDAM",
        "authorized_official_first_name": "SATISH",
        "authorized_official_title_or_position": "OWNER, PIC, AO",
        "authorized_official_telephone_number": "386-219-1988",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH29342",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159674",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017335500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRST CHOICE PHARMACY, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Y Feibelman, M.D.
• Kay W Fellows, M.D.
• Stylesha Shymeka Fields, CNA
• Errol Norman Findlater, M.D.
• First Care Inc
• First Coast Cardiovascular Institute, LLC
• First Coast Obstetrics and Gynecology PA
• Ramonica Flagler, NP
• James A. Fleming
• Florida Cancer Specialists & Research Institute, LLC

• Community/Retail Pharmacy in Palatka, FL
• Providers in Palatka, 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 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.