Active NPI
O'Quinn Pharmacy, Inc.
- Community/Retail Pharmacy
- Perry, FL
National Provider Identifier
1346395829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH6357
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103559200 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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
- North Florida Adult Training Center LLC
- North Florida Hearing Services
- North Florida Medical Centers, Inc (North Florida Medical - Perry)
- Northland Hearing Center, Inc. (U.S. Hearing Solutions)
- William O'Briant
- Marsha Kelly Oxamendi, LCSW
- Rachel D Padgett, R.N.
- Tiffanee Ann Padgett, ARNP
- Kevin K Patel, PHARM.D
- Veera Venkata S Babu Paturi, MBBS
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.