Organization Active NPI

Streamline LLC

  • Compounding Pharmacy
  • Jacksonville, FL
National Provider Identifier
1497186175
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
PH27260 Issued in FL
Legal business name
STREAMLINE LLC
Doing business as
Streamline Compounding Pharmacy
Practice address
14965 Old Saint Augustine Rd Unit 110
Jacksonville, FL 32258-9481
Phone
(904) 619-9000
NPI assigned
Dec 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Authorized official

Name
Mitesh Patel
Title
Managing Member
Phone
(904) 619-9000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Compounding Pharmacy 3336C0004X PH27260 FL Primary

Addresses

Primary practice location

14965 Old Saint Augustine Rd Unit 110
Jacksonville, FL 32258-9481

Mailing address

14965 Old Saint Augustine Rd
Unit 110
Jacksonville, FL 32258-9480
Phone (904) 619-9000

Other identifiers 1

IdentifierTypeStateIssuer
2143284OtherPK

Other names 1

  • Streamline Compounding Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

14965 Old Saint Augustine Rd
Unit 110
Jacksonville, FL 32258
Phone (904) 619-9000

NPI Registry JSON

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1497186175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14965 OLD SAINT AUGUSTINE RD",
            "address_2": "UNIT 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322589480",
            "telephone_number": "904-619-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14965 OLD SAINT AUGUSTINE RD UNIT 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322589481",
            "telephone_number": "904-619-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREAMLINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MITESH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "904-619-9000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "FL",
            "license": "PH27260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143284",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Streamline Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 6, 2013; 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.