Organization Active NPI

Mayo Pharmacy and Wellness Center, Inc.

  • Community/Retail Pharmacy
  • Lake City, FL
National Provider Identifier
1346121720
Registry record updated Jan 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MAYO PHARMACY AND WELLNESS CENTER, INC.
Practice address
523 N Marion Ave
Lake City, FL 32055-2882
Phone
(386) 344-1422
NPI assigned
Sep 11, 2025
Last updated
Jan 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2026

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

Authorized official

Name
Dr. Erica Mayo, PHARMDNPI 1831617273
Title
Owner
Phone
(386) 344-1422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

523 N Marion Ave
Lake City, FL 32055-2882

Mailing address

4846 NW Lake Jeffery Rd
Lake City, FL 32055-4797
Phone (386) 344-1422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260317001254 FL Part B Supplier - Pharmacy 6800379942 Practice locations: Lake City, FL

National Provider Directory

National Provider Directory
Tax ID family
Mayo Pharmacy and Wellness Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1757548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769212800000",
    "number": "1346121720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4846 NW LAKE JEFFERY RD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554797",
            "telephone_number": "386-344-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 N MARION AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320552882",
            "telephone_number": "386-344-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO PHARMACY AND WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-11",
        "last_updated": "2026-01-24",
        "certification_date": "2026-01-24",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-344-1422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2026; 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.