1St Community Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH24784 Issued in FL

Legal business name

1ST COMMUNITY PHARMACY LLC

Doing business as

1st Community Pharmacy

Practice address

2775 Old Winter Garden Rd
Ocoee, FL 34761-2995

Phone

(407) 656-0641

Fax

(407) 656-0643

NPI assigned

Jul 30, 2010

Last updated

Jan 18, 2017By 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

J C

Title

Pharmacy Manager

Phone

(407) 656-0641

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• 1st Community Pharmacy Doing business as

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1346554433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 OLD WINTER GARDEN RD",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612995",
            "telephone_number": "407-656-0641",
            "fax_number": "407-656-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 OLD WINTER GARDEN RD",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612995",
            "telephone_number": "407-656-0641",
            "fax_number": "407-656-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST COMMUNITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "C",
        "authorized_official_first_name": "J",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "407-656-0641"
    },
    "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": "PH24784",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002601000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126064",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1st Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.