Organization Active NPI

Fzaipan Inc

Doing business as Advanced RX & Compounding Pharmacy

  • Compounding Pharmacy
  • Jacksonville, FL
National Provider Identifier
1396863478
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
PH18462 Issued in FL
Legal business name
FZAIPAN INC
Doing business as
Advanced RX & Compounding Pharmacy
Practice address
6951 Saint Augustine Rd
Jacksonville, FL 32217-2819
Phone
(904) 448-8181
Fax
(904) 448-6662
NPI assigned
Mar 27, 2007
Last updated
Feb 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Jacob Gavronsky
Title
PHRM Dir
Phone
(904) 448-8181

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X PH18462 FL Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

6951 Saint Augustine Rd
Jacksonville, FL 32217-2819

Mailing address

6951 Saint Augustine Rd
Jacksonville, FL 32217-2819
Phone (904) 448-8181

Other identifiers 1

IdentifierTypeStateIssuer
2014530OtherPK

Other names 1

  • ADVANCED RX & COMPOUNDING PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

6951 Saint Augustine Rd
Jacksonville, FL 32217
Phone (904) 448-8181

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1396863478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6951 SAINT AUGUSTINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172819",
            "telephone_number": "904-448-8181",
            "fax_number": "904-448-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6951 SAINT AUGUSTINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172819",
            "telephone_number": "904-448-8181",
            "fax_number": "904-448-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FZAIPAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "GAVRONSKY",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PHRM DIR",
        "authorized_official_telephone_number": "904-448-8181"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "FL",
            "license": "PH18462",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2014530",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED RX & COMPOUNDING 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 Feb 20, 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.