NPIMap

Organization Active NPI

Acv Community Services LLC

Doing business as The Village Pharmacy at Dowling Park

  • Community/Retail Pharmacy
  • Dowling Park, FL
National Provider Identifier
1407933377
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH22309 Issued in FL
Legal business name
ACV COMMUNITY SERVICES LLC
Doing business as
The Village Pharmacy at Dowling Park
Practice address
10820 Marvin Jones Blvd
Dowling Park, FL 32060
Phone
(386) 658-5860
Fax
(386) 658-5864
NPI assigned
Oct 31, 2006
Last updated
Mar 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Craig Carter
Title
President/Ceo
Phone
(386) 658-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH22309 FL Primary

Addresses

Primary practice location

10820 Marvin Jones Blvd
Dowling Park, FL 32060

Mailing address

PO Box 4675
Dowling Park, FL 32064-1507
Phone (386) 658-5860

Other identifiers 2

IdentifierTypeStateIssuer
031816700MedicaidFL
2007855OtherPK

Other names 1

  • THE VILLAGE PHARMACY AT DOWLING PARK Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Acv Community Services LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1407933377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4675",
            "city": "DOWLING PARK",
            "state": "FL",
            "postal_code": "320641507",
            "telephone_number": "386-658-5860",
            "fax_number": "386-658-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 MARVIN JONES BLVD",
            "city": "DOWLING PARK",
            "state": "FL",
            "postal_code": "32060",
            "telephone_number": "386-658-5860",
            "fax_number": "386-658-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACV COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "386-658-5500"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH22309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031816700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2007855",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE VILLAGE PHARMACY AT DOWLING PARK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dowling Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.