Pharmacy 18, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

P06805 Issued in KY

Legal business name

PHARMACY 18, INC.

Practice address

82 Spruce St
Suite 118
Murray, KY 42071-2150

Phone

(561) 495-9200

Fax

(561) 495-0210

NPI assigned

Jul 19, 2005

Organization subpart

No

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

Authorized official

Name

Mr. David Soblick

Title

President

Phone

(561) 495-9200

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Life Quality Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1477552818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 W ATLANTIC AVE",
            "address_2": "SUITE 101",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848103",
            "telephone_number": "561-495-9200",
            "fax_number": "561-495-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 SPRUCE ST",
            "address_2": "SUITE 118",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712150",
            "telephone_number": "561-495-9200",
            "fax_number": "561-495-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY 18, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SOBLICK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-495-9200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "P06805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "P8504",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Quality Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas William Payne, OD
• Rebecca Lynn Pender Baum, LPCC, NCC, RPTS
• Aaron Robert Perkins, PHARM.D.
• Jennifer Mason Perry, FNP
• Sarah Lashae Petty, APRN
• Pharmacy 2, Inc.
• Pharmacy 20 Inc
• Pharmacy 20, Inc.
• Pharmacy, Inc.
• Skylar Pharris, CRNA

• Pharmacy in Murray, KY
• Providers in Murray, KY by specialty
• Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.