Organization Active NPI

Hope Rising Enterprise LLC

  • Community/Retail Pharmacy
  • Jacksonville, FL
National Provider Identifier
1346683216
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH26757 Issued in FL
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

Updated by the provider on Apr 12, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2139683OtherPK
008954900MedicaidFL

Other names 1

  • Arlington Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.