Iglesia Bautista Central de Kissimmee, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

IGLESIA BAUTISTA CENTRAL DE KISSIMMEE, INC.

Practice address

1420 Simpson Rd
Kissimmee, FL 34744-4600

Phone

(407) 348-2060

Fax

(407) 348-2063

NPI assigned

May 4, 2016

Organization subpart

No

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

Authorized official

Name

Benjamin O Gonzalez

Title

Executive Director

Phone

(407) 348-2060

Specialties & licenses 1

Addresses

Other names 1

• IBCK Pharmacy Doing business as

Tax ID family

Ibck Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Iglesia Bautista Central de Kissimmee, Inc.

  • Community/Behavioral Health Agency
  • Kissimmee, FL
  • NPI 1558749838
  NPD tax ID
• Iglesia Bautista Central de Kissimmee, Inc.

  • Rehabilitation Clinic/Center
  • Kissimmee, FL
  • NPI 1568819878
  NPD tax ID

Locations

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1518312909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SIMPSON RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444600",
            "telephone_number": "407-348-2060",
            "fax_number": "407-348-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 SIMPSON RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444600",
            "telephone_number": "407-348-2060",
            "fax_number": "407-348-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGLESIA BAUTISTA CENTRAL DE KISSIMMEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "407-348-2060"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IBCK Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Iglesia Bautista Central de Kissimmee, Inc.
• Iglesia Bautista Central de Kissimmee, Inc.
• Iglesia Bautista Central de Kissimmee, Inc.
• Efrain Iglesias Rios, LMHC
• Mousumi R Ikra, BEHAVIOR TECHNICIAN

• Community/Retail Pharmacy in Kissimmee, FL
• Providers in Kissimmee, 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 Jul 20, 2016; 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.