Organization Active NPI

Family Focus Infusion LLC

  • Home Infusion Therapy Pharmacy
  • Jacksonville, FL
National Provider Identifier
1346239332
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
PH 13657 Issued in FL
Legal business name
FAMILY FOCUS INFUSION LLC
Practice address
4417 Beach Blvd
Ste 101
Jacksonville, FL 32207-4728
Phone
(904) 855-0040
Fax
(904) 855-0072
NPI assigned
Oct 21, 2005
Organization subpart
Yes
Parent organization
FAMILY FOCUS INFUSION LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Ms. Dana W Soper, RPH
Title
Ceo
Phone
(904) 855-0040

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X PS 26357 FL
Nutrition Support PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 1835N1003X PS 26357 FL
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X PH 13657 FL
Home Infusion Therapy Pharmacy 3336H0001X PH 13657 FL Primary
Specialty Pharmacy 3336S0011X PH 13657 FL

Addresses

Primary practice location

4417 Beach Blvd
Ste 101
Jacksonville, FL 32207-4728

Mailing address

4417 Beach Blvd
Ste 101
Jacksonville, FL 32207-4728
Phone (904) 855-0040

Other identifiers 3

IdentifierTypeStateIssuer
103302601MedicaidFL
103302602MedicaidFL
103302600MedicaidFL

National Provider Directory

National Provider Directory
Part of
Family Focus Infusion LLC

Locations

4417 Beach Blvd
Ste 101
Jacksonville, FL 32207
Phone (904) 551-4953

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1346239332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 BEACH BLVD",
            "address_2": "STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074728",
            "telephone_number": "904-855-0040",
            "fax_number": "904-855-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 BEACH BLVD",
            "address_2": "STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074728",
            "telephone_number": "904-855-0040",
            "fax_number": "904-855-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOCUS INFUSION LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY FOCUS INFUSION LLC",
        "enumeration_date": "2005-10-21",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "SOPER",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-855-0040",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS 26357",
            "primary": false
        },
        {
            "code": "1835N1003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Nutrition Support",
            "state": "FL",
            "license": "PS 26357",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "FL",
            "license": "PH 13657",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "FL",
            "license": "PH 13657",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "FL",
            "license": "PH 13657",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103302601",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103302602",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103302600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.