North Florida Pharmacy of Mayo, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NORTH FLORIDA PHARMACY OF MAYO, INC

Practice address

229 West Main Street/ Box 1510
Mayo, FL 32066

Phone

(386) 294-3777

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Vicky S Noling, PHARM.D.NPI 1649477670

Title

Co-Owner/Manager

Phone

(386) 294-3777

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vicky Noling, PHARM.D.

  • Pharmacist
  • Mayo, FL
  • NPI 1649477670
  NPD Authorized official

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1487674271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 WEST MAIN STREET",
            "address_2": "PO BOX 1510",
            "city": "MAYO",
            "state": "FL",
            "postal_code": "32066",
            "telephone_number": "386-294-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 WEST MAIN STREET/ BOX 1510",
            "city": "MAYO",
            "state": "FL",
            "postal_code": "32066",
            "telephone_number": "386-294-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA PHARMACY OF MAYO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "NOLING",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CO-OWNER/MANAGER",
        "authorized_official_telephone_number": "386-294-3777",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026343500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026343501",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "P8389",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert A Mathews, M.D.
• Mayo Family Pharmacy, Inc.
• Chelsea McAdams, L.M.T.
• Vicky Noling, PHARM.D.
• North Florida Medical Centers, Inc.
• Oxygen Path LLC
• David Palomino
• Pinehouse, Inc.
• Elicia Kendall Prine, LMT
• Jennifer Putnel

• Community/Retail Pharmacy in Mayo, FL
• Providers in Mayo, 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 May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.