Active NPI
Hope Rising Enterprise LLC
- Community/Retail Pharmacy
- Jacksonville, FL
National Provider Identifier
1346683216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH26757
- Legal business name
- HOPE RISING ENTERPRISE LLC
- Practice address
- 936 Arlington Rd N
Jacksonville, FL 32211-5956 - Phone
- (904) 724-4337
- Fax
- (904) 724-4329
- NPI assigned
- Apr 10, 2013
- 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
- Alan Abidogun, RPH
- Title
- Owner, Pic, Ao
- Phone
- (904) 724-4337
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH26757 | FL | Primary |
Addresses
Primary practice location
936 Arlington Rd N
Jacksonville, FL 32211-5956
Mailing address
936 Arlington Rd N
Jacksonville, FL 32211-5956
Phone (904) 724-4337
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2139683 | Other | PK | |
| 008954900 | Medicaid | FL |
Other names 1
- Arlington Pharmacy
National Provider Directory
National Provider DirectoryLocations
936 Arlington Rd N
Jacksonville, FL 32211
Phone (904) 724-4337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491955200000",
"number": "1346683216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "936 ARLINGTON RD N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322115956",
"telephone_number": "904-724-4337",
"fax_number": "904-724-4329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "936 ARLINGTON RD N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322115956",
"telephone_number": "904-724-4337",
"fax_number": "904-724-4329"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE RISING ENTERPRISE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-10",
"last_updated": "2017-04-12",
"status": "A",
"authorized_official_last_name": "ABIDOGUN",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "OWNER, PIC, AO",
"authorized_official_telephone_number": "904-724-4337",
"authorized_official_credential": "RPH"
},
"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": "PH26757",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2139683",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008954900",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Arlington Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 12, 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.