Organization Active NPI

Sims Pharmacy LLC

Doing business as Mac's LTC Pharmacy Gulf Breeze

  • Long Term Care Pharmacy
  • Gulf Breeze, FL
National Provider Identifier
1508454265
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SIMS PHARMACY LLC
Doing business as
Mac's LTC Pharmacy Gulf Breeze
Practice address
1177 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4835
Phone
(850) 677-9340
Fax
(850) 677-9087
NPI assigned
Jan 7, 2021
Last updated
Mar 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Authorized official

Name
Richard Wilhoit
Title
Pharmacist in Charge
Phone
(850) 677-9340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1177 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4835

Mailing address

1614 E Lamar Alexander Pkwy
Maryville, TN 37804-6206
Phone (865) 273-0993

Other names 1

  • Mac's LTC Pharmacy Gulf Breeze Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gulf Breeze Apothecary2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1179 Gulf Breeze Pkwy
Gulf Breeze, FL 32561

1614 E Lamar Alexander Pkwy
Maryville, TN 37804

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1508454265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378046206",
            "telephone_number": "865-273-0993",
            "fax_number": "865-238-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614835",
            "telephone_number": "850-677-9340",
            "fax_number": "850-677-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "WILHOIT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "850-677-9340"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mac's LTC Pharmacy Gulf Breeze",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mac's LTC Pharmacy Gulf Breeze",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.