Organization Active NPI

Consolidated Pharmacy Services, Inc

  • Community/Retail Pharmacy
  • Jacksonville, FL
National Provider Identifier
1437245990
Registry record updated Mar 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CONSOLIDATED PHARMACY SERVICES, INC
Practice address
2651 Park Street
Jacksonville, FL 32204-4519
Phone
(904) 387-2448
Fax
(904) 387-0153
NPI assigned
Oct 4, 2006
Last updated
Mar 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2015

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

Authorized official

Name
Donnie Romine
Title
System Coo
Phone
(904) 308-1290

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary
Long Term Care Pharmacy 3336L0003X PH-0009430 FL

Addresses

Primary practice location

2651 Park Street
Jacksonville, FL 32204-4519

Mailing address

2651 Park Street
Jacksonville, FL 32204-4519
Phone (904) 387-2448

Other identifiers 2

IdentifierTypeStateIssuer
022452900MedicaidFL
PH-0009430OtherFLSTATE LICENSE

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425772800000",
    "number": "1437245990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 PARK STREET",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044519",
            "telephone_number": "904-387-2448",
            "fax_number": "904-387-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 PARK STREET",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044519",
            "telephone_number": "904-387-2448",
            "fax_number": "904-387-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSOLIDATED PHARMACY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-03-08",
        "status": "A",
        "authorized_official_last_name": "ROMINE",
        "authorized_official_first_name": "DONNIE",
        "authorized_official_title_or_position": "SYSTEM COO",
        "authorized_official_telephone_number": "904-308-1290"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH-0009430",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022452900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PH-0009430",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 8, 2015; 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.