Simplywell Specialty Pharmacy LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31635 Issued in FL

Legal business name

SIMPLYWELL SPECIALTY PHARMACY LP

Practice address

463128 State Road 200
Yulee, FL 32097-5554

Phone

(904) 468-8886

NPI assigned

Aug 24, 2018

Last updated

Mar 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Madison Clayton, PHARMD

Title

Owner/Pic

Phone

(904) 468-3020

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Kevin Bailey, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Yulee, FL
  • NPI 1396333167
  NPD
• Susan Lynn Goldsmith, MSN, FNP-BC

  • Family Nurse Practitioner
  • Saint Marys, GA
  • NPI 1124061700
  NPD (past)

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647648000000",
    "number": "1619458981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463128 STATE ROAD 200",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320975554",
            "telephone_number": "904-468-3020",
            "fax_number": "904-849-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463128 STATE ROAD 200",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320975554",
            "telephone_number": "904-468-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLYWELL SPECIALTY PHARMACY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "last_updated": "2022-03-19",
        "certification_date": "2022-03-19",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "MADISON",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "904-468-3020",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "31635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carley J Sheppard, MS, BCBA
• Rachel Sheppard
• Susan Shinego, PT
• Danielle Shiver, CNM
• Makayla Shutt
• Quatrisha Ja'Cole Simpson
• Erik Skow, LMHC
• Kimberly Ann Sloan
• Alexis Bailey Smith
• Sarah A Smith, LCSW

• Community/Retail Pharmacy in Yulee, FL
• Providers in Yulee, 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 19, 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.