Ridgeland Allied Pharmacy, Inc

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

PH 27215 Issued in FL

Legal business name

RIDGELAND ALLIED PHARMACY, INC

Practice address

804 W Bloomingdale Ave
Ste. 1-4
Brandon, FL 33511-7778

Phone

(813) 689-9489

Fax

(813) 689-9682

NPI assigned

Feb 4, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Deryck Karl Josephs, RPHNPI 1568882264

Title

Pharmacist/Owner

Phone

(813) 689-9489

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Deryck Josephs, RPH.

  • Pharmacist
  • Brandon, FL
  • NPI 1568882264
  NPD (past) Authorized official

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1619335601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 W BLOOMINGDALE AVE",
            "address_2": "STE. 1-4",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117778",
            "telephone_number": "813-689-9489",
            "fax_number": "813-689-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 W BLOOMINGDALE AVE",
            "address_2": "STE. 1-4",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117778",
            "telephone_number": "813-689-9489",
            "fax_number": "813-689-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGELAND ALLIED PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "JOSEPHS",
        "authorized_official_first_name": "DERYCK",
        "authorized_official_middle_name": "KARL",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "813-689-9489",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "FL",
            "license": "PH 27215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011032200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rudina Richter, LMFT
• Nicholas Joseph Rickert, M.D.
• Charles Paul Ricketson, OTRL
• Maria E Ricks
• Brett Andrew Riddle, DO
• Lisset De la Mercedes Riera Lemes
• Savannah Kay Riley
• Priscilla Rima
• Thomas Rimos
• Danielle Elizabeth Rinaldi, BCBA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.