Organization Active NPI

Egle Enterprises Inc

  • Community/Retail Pharmacy
  • Jacksonville, FL
National Provider Identifier
1407154347
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH25302 Issued in FL
Legal business name
EGLE ENTERPRISES INC
Practice address
6055 Saint Augustine Rd
Jacksonville, FL 32217-2104
Phone
(904) 739-8101
NPI assigned
Mar 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Mahesh L Patel
Title
Owner
Phone
(904) 739-8101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH25302 FL Primary

Addresses

Primary practice location

6055 Saint Augustine Rd
Jacksonville, FL 32217-2104

Mailing address

5890 SW 43Rd Street Rd
Ocala, FL 34474-9554
Phone (904) 739-8101

Other names 1

  • jaxx pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

6055 Saint Augustine Rd
Jacksonville, FL 32217
Phone (904) 739-8101

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": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1407154347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5890 SW 43RD STREET RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344749554",
            "telephone_number": "904-739-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6055 SAINT AUGUSTINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172104",
            "telephone_number": "904-739-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGLE ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAHESH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-739-8101"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "jaxx 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 Mar 1, 2011; 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.