Englewood Specialty Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH19429 Issued in FL

Legal business name

ENGLEWOOD SPECIALTY PHARMACY

Practice address

21234 Olean Blvd
Suite 6
Port Charlotte, FL 33952-6752

Phone

(941) 255-3784

Fax

(941) 255-3724

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Dan Edward Farris, RPH.

Title

Owner

Phone

(941) 255-3784

Specialties & licenses 1

Addresses

Other names 1

• Gulf Coast Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316098486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21234 OLEAN BLVD",
            "address_2": "SUITE 6",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526752",
            "telephone_number": "941-255-3784",
            "fax_number": "941-255-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21234 OLEAN BLVD",
            "address_2": "SUITE 6",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526752",
            "telephone_number": "941-255-3784",
            "fax_number": "941-255-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLEWOOD SPECIALTY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARRIS",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-255-3784",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH19429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Port Charlotte, FL
• Providers in Port Charlotte, 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.