DJ Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH24393 Issued in FL

Legal business name

DJ PHARMACY LLC

Doing business as

DJ PHARMACY

Practice address

5622 Marine Pkwy Ste 23
New Port Richey, FL 34652-4335

Phone

(727) 232-0646

NPI assigned

Jan 15, 2010

Organization subpart

No

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

Authorized official

Name

Omotade Ikudayisi

Title

Owner

Phone

(813) 495-2234

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DJ PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1528399474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20122 SHADY HILL LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473396",
            "telephone_number": "813-495-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5622 MARINE PKWY STE 23",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524335",
            "telephone_number": "727-232-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJ PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "IKUDAYISI",
        "authorized_official_first_name": "OMOTADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-495-2234"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1052632",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DJ PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in New Port Richey, FL
• Providers in New Port Richey, 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 Sep 19, 2011; 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.