City View Pharmacy Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

PH 21004 Issued in FL

Legal business name

CITY VIEW PHARMACY INC

Practice address

595 W Church St Ste H
Orlando, FL 32805-2209

Phone

(321) 206-9426

Fax

(321) 244-0541

NPI assigned

Jul 22, 2006

Last updated

Jun 17, 2009By 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

Mr. Bernard B Agbelusi, RPH

Title

Pharmacist

Phone

(321) 206-9426

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1336160522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 W CHURCH ST STE H",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328052209",
            "telephone_number": "321-206-9426",
            "fax_number": "321-244-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W CHURCH ST STE H",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328052209",
            "telephone_number": "321-206-9426",
            "fax_number": "321-244-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY VIEW PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "AGBELUSI",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "321-206-9426",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PH 21004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "1008956",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028278200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Orlando, FL
• Providers in Orlando, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.