Paramores Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH8783 Issued in FL

Legal business name

PARAMORES PHARMACY INC

Doing business as

Paramores Pharmacy Inc

Practice address

4314 5TH Ave
Marianna, FL 32446-2182

Phone

(850) 482-3924

Fax

(850) 482-3886

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Burton DunawayNPI 1164794749

Title

Owner

Phone

(850) 482-3924

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PARAMORES PHARMACY INC Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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.

• Burton L Dunaway, PHARMD.

  • Pharmacist
  • Marianna, FL
  • NPI 1164794749
  NPD Authorized official
• Barron Humphries

  • Pharmacist
  • Marianna, FL
  • NPI 1609750900
  NPD (past)
• Theresa Stone McKeithan, PHARMACIST

  • Pharmacist
  • Marianna, FL
  • NPI 1912561572
  NPD (past)
• Jimmy Watts

  • Pharmacist
  • Marianna, FL
  • NPI 1164087698
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1598814287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 5TH AVE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462182",
            "telephone_number": "850-482-3924",
            "fax_number": "850-482-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 5TH AVE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462182",
            "telephone_number": "850-482-3924",
            "fax_number": "850-482-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMORES PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "DUNAWAY",
        "authorized_official_first_name": "BURTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-482-3924"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH8783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022833200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2005233",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARAMORES PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Matthew R Payne, DMD
• Robert W Payne, DDS

• Community/Retail Pharmacy in Marianna, FL
• Providers in Marianna, 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 Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.