NPIMap

Organization Active NPI

Perkins Compounding Pharmacy Inc

  • Community/Retail Pharmacy
  • Vero Beach, FL
National Provider Identifier
1326094301
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH17348 Issued in FL
Legal business name
PERKINS COMPOUNDING PHARMACY INC
Practice address
4015 20TH St
Vero Beach, FL 32960-2403
Phone
(772) 978-6470
Fax
(772) 978-6471
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Authorized official

Name
Edwin PerkinsNPI 1891280863
Title
Owner Phcst
Phone
(772) 978-6470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH17348 FL Primary

Addresses

Primary practice location

4015 20TH St
Vero Beach, FL 32960-2403

Mailing address

4015 20TH St
Vero Beach, FL 32960-2403
Phone (772) 978-6470

Other identifiers 2

IdentifierTypeStateIssuer
022744700MedicaidFL
2013454OtherPK

Other names 1

  • PERKINS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

4015 20th St
Vero Beach, FL 32960
Phone (772) 978-6470

Practitioners & affiliated clinicians

Practitioners 2

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": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1326094301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 20TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602403",
            "telephone_number": "772-978-6470",
            "fax_number": "772-978-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 20TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602403",
            "telephone_number": "772-978-6470",
            "fax_number": "772-978-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERKINS COMPOUNDING PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER PHCST",
        "authorized_official_telephone_number": "772-978-6470"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH17348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022744700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2013454",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PERKINS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.