Organization Active NPI

Parkwood Pharmacy, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Hudson, FL
National Provider Identifier
1356573182
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1313570 Issued in FL
Legal business name
PARKWOOD PHARMACY, INC.
Practice address
9706 State Road 52
Hudson, FL 34669-3003
Phone
(727) 863-2052
Fax
(727) 869-8441
NPI assigned
Aug 12, 2009
Organization subpart
Yes
Parent organization
PARKWOOD PHARMACY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James F. Vincent
Title
President
Phone
(727) 849-2577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1313570 FL Primary

Addresses

Primary practice location

9706 State Road 52
Hudson, FL 34669-3003

Mailing address

7920 Congress St
Port Richey, FL 34668-6713
Phone (727) 849-2577

Other identifiers 1

IdentifierTypeStateIssuer
104451601MedicaidFL

Other names 1

  • Parkwood Medical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Parkwood Pharmacy 15 organizations share this tax ID, including this one
Part of
Parkwood Pharmacy 1

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9706 State Road 52
Hudson, FL 34669
Phone (727) 863-2052

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1356573182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 CONGRESS ST",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686713",
            "telephone_number": "727-849-2577",
            "fax_number": "727-847-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9706 STATE ROAD 52",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346693003",
            "telephone_number": "727-863-2052",
            "fax_number": "727-869-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWOOD PHARMACY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKWOOD PHARMACY, INC.",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-849-2577",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1313570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104451601",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkwood Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.