Organization Active NPI

O'Quinn Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Perry, FL
National Provider Identifier
1346395829
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH6357 Issued in FL
Legal business name
O'QUINN PHARMACY, INC.
Practice address
200 N Jefferson St
Perry, FL 32347-2652
Phone
(850) 584-7692
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Authorized official

Name
Brenda Wilson
Title
President
Phone
(850) 584-7692

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH6357 FL Primary

Addresses

Primary practice location

200 N Jefferson St
Perry, FL 32347-2652

Mailing address

200 N Jefferson St
Perry, FL 32347-2652

Other identifiers 1

IdentifierTypeStateIssuer
103559200MedicaidFL

National Provider Directory

National Provider Directory

Locations

200 N Jefferson St
Perry, FL 32347
Phone (850) 584-7692

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1346395829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N JEFFERSON ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323472652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N JEFFERSON ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323472652",
            "telephone_number": "850-584-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'QUINN PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-584-7692"
    },
    "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": "PH6357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103559200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.