Usipn LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

USIPN LLC

Practice address

391 W Macclenny Ave
Macclenny, FL 32063-2033

Phone

(904) 397-0440

Fax

(904) 397-0441

NPI assigned

Sep 13, 2009

Organization subpart

No

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

Authorized official

Name

Ankur Parikh

Title

Pic

Phone

(904) 397-0440

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Procare Drugs Doing business as

Locations

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

{
    "created_epoch": "1252800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1598098204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 W MACCLENNY AVE",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632033",
            "telephone_number": "904-397-0440",
            "fax_number": "904-397-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 W MACCLENNY AVE",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632033",
            "telephone_number": "904-397-0440",
            "fax_number": "904-397-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USIPN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-13",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "ANKUR",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "904-397-0440"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH24239",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1048455",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001494700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Procare Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Clair Winston House,LLC
• Rachel McMahan Thomas, ARNP
• Trong Tan Tran, MD
• Sarah Underwood, APRN
• University of Florida Jacksonville Physicians, Inc.
• Heidi Joan Vassallo, CPHT
• Brynne Volner
• Alaina Daniele Waddell, CPHT
• Angela L Waite, RBT, EQUINE SPEC
• Melody Miller Waites, APRN, FNP-C

• Community/Retail Pharmacy in Macclenny, FL
• Providers in Macclenny, 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 Mar 9, 2010; 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.