Southern Meridian Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SOUTHERN MERIDIAN INC

Doing business as

Santa Rosa Pharmacy

Practice address

19 Town Center Loop
Santa Rosa Beach, FL 32459-0700

Phone

(850) 622-3313

Fax

(850) 622-3255

NPI assigned

Aug 14, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Dale Bandy, RPH

Title

Owner

Phone

(850) 622-3313

Specialties & licenses 1

Addresses

Other names 1

• Santa Rosa Pharmacy Doing business as

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1467608075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 TOWN CENTER LOOP",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324590700",
            "telephone_number": "850-622-3313",
            "fax_number": "850-622-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 TOWN CENTER LOOP",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324590700",
            "telephone_number": "850-622-3313",
            "fax_number": "850-622-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MERIDIAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "BANDY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-622-3313",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Rosa Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Santa Rosa Beach, FL
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• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.