Pharmclinic

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PHARMCLINIC

Doing business as

Wellness and Weight Loss of Fort Walton

Practice address

1013 Mar Walt Dr Ste B
Ft Walton BCH, FL 32547-6789

Phone

(850) 863-2222

Fax

(850) 863-2223

NPI assigned

Mar 12, 2012

Organization subpart

No

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

Authorized official

Name

Hal Densman, PHARM D.

Title

Pharmacist/Owner

Phone

(850) 683-1111

Specialties & licenses 1

Addresses

Other names 1

• Wellness and Weight Loss of Fort Walton Doing business as

Locations

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1629343439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 N FERDON BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325361710",
            "telephone_number": "850-683-1111",
            "fax_number": "850-683-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 MAR WALT DR STE B",
            "city": "FT WALTON BCH",
            "state": "FL",
            "postal_code": "325476789",
            "telephone_number": "850-863-2222",
            "fax_number": "850-863-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMCLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "DENSMAN",
        "authorized_official_first_name": "HAL",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "850-683-1111",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness and Weight Loss of Fort Walton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Lynn Johnson, L.M.T.
• Joseph Louis Lorden, IDMT
• Timothy Glen Maddox, RPH
• Michael Edward Neuland, M. D.
• Leslie Milton O'Steen, M.D.
• Dawn Michelli Riccitelli, MS,RD,LDN
• Kim Schade, PHARMD
• Hannah Cuneo Sonnier, PA-C
• Valerie Vanwinkle, BCBA
• Whispering Wind Emergency Physicians, LLC

• Health Service Clinic/Center in Ft Walton BCH, FL
• Providers in Ft Walton BCH, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.