NPIMap

Organization Active NPI

Fosuyi Enterprise

Doing business as Rite-Mart Pharmacy

  • Community/Retail Pharmacy
  • Jacksonville, FL
National Provider Identifier
1538469028
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH25006 Issued in FL
Legal business name
FOSUYI ENTERPRISE
Doing business as
Rite-Mart Pharmacy
Practice address
5312 N Pearl St
Jacksonville, FL 32208-5119
Phone
(904) 353-7223
Fax
(904) 353-7224
NPI assigned
Oct 30, 2010
Last updated
Feb 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Felix ObasuyiNPI 1992035661
Title
Pharmacy Manager
Phone
(904) 353-7223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH25006 FL Primary

Addresses

Primary practice location

5312 N Pearl St
Jacksonville, FL 32208-5119

Mailing address

2595 Watermill Dr
Orange Park, FL 32073-1621
Phone (904) 505-9720

Other identifiers 1

IdentifierTypeStateIssuer
5702382OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Rite-Mart Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

5312 N Pearl St
Jacksonville, FL 32208
Phone (904) 353-7223

Practitioners & affiliated clinicians

Practitioners 1

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": "1288396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1538469028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 WATERMILL DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320731621",
            "telephone_number": "904-505-9720",
            "fax_number": "904-693-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5312 N PEARL ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322085119",
            "telephone_number": "904-353-7223",
            "fax_number": "904-353-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSUYI ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-30",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "OBASUYI",
        "authorized_official_first_name": "FELIX",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "904-353-7223"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5702382",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rite-Mart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.