NPIMap

Organization Active NPI

Seton Pharmacy Inc

  • Community/Retail Pharmacy
  • Orange Park, FL
National Provider Identifier
1508959297
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH-0017632 Issued in FL
Legal business name
SETON PHARMACY INC
Practice address
2300 Park Avenue
Suite 100
Orange Park, FL 32073-5572
Phone
(904) 215-2780
Fax
(904) 278-8641
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Authorized official

Name
Scott Whalen, PHD
Title
Ceo
Phone
(904) 308-8446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH-0017632 FL Primary

Addresses

Primary practice location

2300 Park Avenue
Suite 100
Orange Park, FL 32073-5572

Mailing address

2300 Park Avenue
Suite 100
Orange Park, FL 32073-5572
Phone (904) 215-2780

Other identifiers 2

IdentifierTypeStateIssuer
022450200MedicaidFL
22450201MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Seton Pharmacy Inc2 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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1508959297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 PARK AVENUE",
            "address_2": "SUITE 100",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735572",
            "telephone_number": "904-215-2780",
            "fax_number": "904-278-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 PARK AVENUE",
            "address_2": "SUITE 100",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735572",
            "telephone_number": "904-215-2780",
            "fax_number": "904-278-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "WHALEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-308-8446",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH-0017632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022450200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22450201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.