Bobs Pharmacy & Diabetic Supplies

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH22556 Issued in FL

Legal business name

BOBS PHARMACY & DIABETIC SUPPLIES

Practice address

2860 Highway 17 North
Winter Haven, FL 33881-1435

Phone

(863) 293-6084

Fax

(863) 293-8307

NPI assigned

Jun 4, 2007

Last updated

Aug 22, 2020By 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

Mrs. Danielle Rodriguez

Title

Administrative Asst.

Phone

(863) 293-6084

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629270491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 HWY 17 N",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811435",
            "telephone_number": "863-293-6084",
            "fax_number": "863-293-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 HIGHWAY 17 NORTH",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811435",
            "telephone_number": "863-293-6084",
            "fax_number": "863-293-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBS PHARMACY & DIABETIC SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASST.",
        "authorized_official_telephone_number": "863-293-6084",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH22556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bond Clinic PA

• Community/Retail Pharmacy in Winter Haven, FL
• Providers in Winter Haven, 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 Aug 22, 2020; 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.