Goncan, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH 13892 Issued in FL

Legal business name

GONCAN, INC

Doing business as

SOUTH BAY PHARMACY

Practice address

155 US Highway 27 S
South Bay, FL 33493-2213

Phone

(561) 992-9220

Fax

(561) 992-9330

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Godwin A Nwaobi, R.PH

Title

Pharmacist Manager

Phone

(561) 992-9220

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SOUTH BAY PHARMACY Doing business as

Tax ID family

Goncan Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Goncan Inc

  • Community/Retail Pharmacy
  • Fort Pierce, FL
  • NPI 1326358516
  NPD tax ID
• Goncan, Inc

  • Durable Medical Equipment & Medical Supplies
  • South Bay, FL
  • NPI 1902995871
  NPD tax ID

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1467472670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 SW 27TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330233757",
            "telephone_number": "954-962-2310",
            "fax_number": "561-992-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 US HIGHWAY 27 S",
            "city": "SOUTH BAY",
            "state": "FL",
            "postal_code": "334932213",
            "telephone_number": "561-992-9220",
            "fax_number": "561-992-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONCAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "NWAOBI",
        "authorized_official_first_name": "GODWIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACIST MANAGER",
        "authorized_official_telephone_number": "561-992-9220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH 13892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103475800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH BAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Baldwin Dentistry PA
• Anthony Baldwin, D.D.S
• Dental Heaven P.a.
• Goncan, Inc
• Ceela Harris
• Anquonette Irving, M.ED
• Tabitha Eve Kalkstein, PH.D., L.M.H.C.
• L.O.T. Health Services, Inc.

• Community/Retail Pharmacy in South Bay, FL
• Providers in South Bay, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.