Excel Pharmacy Partners LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

Legal business name

EXCEL PHARMACY PARTNERS LLC

Practice address

6817 Southpoint Pkwy Ste 2204
Jacksonville, FL 32216-8200

Phone

(904) 800-2285

Fax

(904) 813-7905

NPI assigned

Nov 23, 2022

Organization subpart

No

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

Authorized official

Name

Marc Eisenmann

Title

Manager

Phone

(201) 344-3691

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Excel Pharmacy Partners LLC2 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.

• Excel Pharmacy Partners LLC

  dba Stat Pharmacy

  • Community/Retail Pharmacy
  • Jacksonville, FL
  • NPI 1841707940
  NPD tax ID

Practitioners 1

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

• Roy Principe

  • Pharmacist
  • Orange Park, FL
  • NPI 1760762215
  NPD

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1598474017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 2204",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168200",
            "telephone_number": "904-800-2285",
            "fax_number": "904-813-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 2204",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168200",
            "telephone_number": "904-800-2285",
            "fax_number": "904-813-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL PHARMACY PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "EISENMANN",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-344-3691"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PH31118",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102482400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Cody Ewing, MD
• Gloryian D. Ewing, LMT, LPN
• Excel Anesthesia Consultants LLC
• Excel Beyond Reach Group Home and Support Services, Inc
• Excel Beyond Transportation
• Excel Pharmacy Partners LLC (Stat Pharmacy)
• Excellsior Home Health LLC
• Excelsior Community Services, LLC
• Excelsior Diagnostics LLC
• Exceptional Comfort and Care, LLC

• Specialty Pharmacy in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Specialty Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.