Goodluck Pharmacy Inc

Key facts

NPI

1356418503

Entity type

Organization (NPI type 2)

Primary specialty

Community/Retail Pharmacy 3336C0003X

License

PH23223 (FL)

Legal business name

GOODLUCK PHARMACY INC

Practice address

15320 NW Gainesville Rd
Reddick, FL 32686

Phone

(352) 591-1116

Fax

(352) 591-3003

NPI assigned

Nov 30, 2006

Organization subpart

No

Authorized official

Name

Mahesh Patel

Title

Owner

Phone

(352) 361-3878

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

Other names

• SUNSHINE DRUGS Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 31, 2013.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1356418503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "REDDICK",
            "state": "FL",
            "postal_code": "326860215",
            "telephone_number": "352-361-3878",
            "fax_number": "352-591-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15320 NW GAINESVILLE RD",
            "city": "REDDICK",
            "state": "FL",
            "postal_code": "32686",
            "telephone_number": "352-591-1116",
            "fax_number": "352-591-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLUCK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAHESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-361-3878"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1046540",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNSHINE DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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