NPIMap

Organization Active NPI

Fla a and M University Student HLTH Phcy

  • Community/Retail Pharmacy
  • Tallahassee, FL
National Provider Identifier
1508870395
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH18062 Issued in FL
Legal business name
FLA A AND M UNIVERSITY STUDENT HLTH PHCY
Practice address
RM 113 Student Health Services
Foote Hilver Adm Building
Tallahassee, FL 32307
Phone
(850) 412-7881
Fax
(850) 599-3742
NPI assigned
Jul 28, 2006
Last updated
Sep 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Martha Ross
Title
Pharmacy Manager
Phone
(850) 412-7881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH18062 FL Primary

Addresses

Primary practice location

RM 113 Student Health Services
Foote Hilver Adm Building
Tallahassee, FL 32307

Mailing address

RM 113 Student Health Services
Foote Hilver Adm Building
Tallahassee, FL 32307

Other identifiers 2

IdentifierTypeStateIssuer
1022209OtherOTHER ID NUMBER-COMMERCIAL NUMBER
1022209OtherOTHER ID NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Fla a and M University Student HLTH Phcy5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

RM 113 Student Health Services
Tallahassee, FL 32307
Phone (850) 412-7881

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1508870395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RM 113 STUDENT HEALTH SERVICES",
            "address_2": "FOOTE HILVER ADM BUILDING",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RM 113 STUDENT HEALTH SERVICES",
            "address_2": "FOOTE HILVER ADM BUILDING",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32307",
            "telephone_number": "850-412-7881",
            "fax_number": "850-599-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLA A AND M UNIVERSITY STUDENT HLTH PHCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "850-412-7881"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH18062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1022209",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1022209",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.