North Florida Pharmacy of Branford Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH15601 Issued in FL

Legal business name

NORTH FLORIDA PHARMACY OF BRANFORD INC

Practice address

305 SW US Hwy 27
Branford, FL 32008-2767

Phone

(386) 935-6905

Fax

(386) 935-6865

NPI assigned

Aug 10, 2006

Last updated

May 29, 2014By 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

Cherry Lumbert, RPH

Title

Owner and Pharmacist

Phone

(386) 935-6905

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• North Florida Pharmacy of Fort White Inc

  • Community/Retail Pharmacy
  • Fort White, FL
  • NPI 1043414782

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1316958069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SW US HWY 27",
            "city": "BRANFORD",
            "state": "FL",
            "postal_code": "320082767",
            "telephone_number": "386-935-6905",
            "fax_number": "386-935-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 SW US HWY 27",
            "city": "BRANFORD",
            "state": "FL",
            "postal_code": "320082767",
            "telephone_number": "386-935-6905",
            "fax_number": "386-935-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA PHARMACY OF BRANFORD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "LUMBERT",
        "authorized_official_first_name": "CHERRY",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "386-935-6905",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH15601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1081506",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106249200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106249201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hollee M Koon
• Tracy D. Lamb
• Krista M Lowe, APRN
• Kristin Hope McIntosh, ARNP
• Melanie L Kemmerer, DMD, PLLC
• Jessie L Peterson, APRN
• Stephanie Danielle Ruise, APRN
• Bienvenido Samera, M.D., P.A.
• Scott B. Samera, DPM, PA, LLC
• Rodney Lee Scyphers, ARNP-C, MSN

• Community/Retail Pharmacy in Branford, FL
• Providers in Branford, 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 May 29, 2014; 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.