Wakulla Station Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH21189 Issued in FL

Legal business name

WAKULLA STATION PHARMACY, INC

Practice address

961 Woodville Hwy
Crawfordville, FL 32327-0706

Phone

(850) 421-4040

Fax

(850) 421-4020

NPI assigned

Feb 19, 2007

Last updated

Jun 26, 2008By 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

Rita Hughes Abarbanel, RPHNPI 1467662064

Title

Owner

Phone

(850) 421-4040

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, and the practitioner matching its NPPES authorized official.

• Rita Hughes Abarbanel

  • Pharmacist
  • Crawfordville, FL
  • NPI 1467662064
  NPD (past) Authorized official

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1629112818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 WOODVILLE HWY",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323270706",
            "telephone_number": "850-421-4040",
            "fax_number": "850-421-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 WOODVILLE HWY",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323270706",
            "telephone_number": "850-421-4040",
            "fax_number": "850-421-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKULLA STATION PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "ABARBANEL",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "HUGHES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-421-4040",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH21189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028236700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wakulla County Health Department
• Wakulla County School Board
• Wakulla County School Board
• Wakulla County Senior Citizens
• Wakulla County Senior Citizens Council, Inc.
• Wakulla Urgent Care & Diagnostic Center PLC
• Wakulla Urgent Care & Diagnostic Center PLC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-3307)
• Wal-Mart Stores East, LP (Vision Center 30-3307)
• Walgreen Co (Walgreens #09578)

• Community/Retail Pharmacy in Crawfordville, FL
• Providers in Crawfordville, 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 Jun 26, 2008; 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.