Organization Active NPI

Pharmacy Plus Inc

  • Community/Retail Pharmacy
  • Jacksonville, FL
National Provider Identifier
1356646376
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH25201 Issued in FL
Legal business name
PHARMACY PLUS INC
Practice address
7645 Merrill Rd Ste 210
Jacksonville, FL 32277-6574
Phone
(904) 442-8822
Fax
(904) 442-7878
NPI assigned
Jan 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Amjad NimriNPI 1013281872
Title
President
Phone
(904) 442-8822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH25201 FL Primary

Addresses

Primary practice location

7645 Merrill Rd Ste 210
Jacksonville, FL 32277-6574

Mailing address

7645 Merrill Rd Ste 210
Jacksonville, FL 32277-6574
Phone (904) 442-8822

Other identifiers 1

IdentifierTypeStateIssuer
5704603OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Pharmacy Plus, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210825002631 FL Part B Supplier - Pharmacy 6406251628 Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

7645 Merrill Rd
Ste 210
Jacksonville, FL 32277
Phone (904) 442-8822

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1295654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1356646376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7645 MERRILL RD STE 210",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322776574",
            "telephone_number": "904-442-8822",
            "fax_number": "904-442-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7645 MERRILL RD STE 210",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322776574",
            "telephone_number": "904-442-8822",
            "fax_number": "904-442-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY PLUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-22",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "NIMRI",
        "authorized_official_first_name": "AMJAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-442-8822"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5704603",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacy Plus, Inc.",
            "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 Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.