Halliday's Drugs, Inc.

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PH528 Issued in FL

Legal business name

HALLIDAY'S DRUGS, INC.

Practice address

4133 University Blvd S # 1
Jacksonville, FL 32216-4316

Phone

(904) 737-2216

Fax

(904) 737-2218

NPI assigned

Feb 27, 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

Carolyn Bass

Title

Manager

Phone

(904) 737-2216

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Halliday's Drugs Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Halliday's Drugs, Inc.

  dba Halliday's & Koivisto's Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
  • NPI 1659408516
  NPD tax ID

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649307414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 UNIVERSITY BLVD S # 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164316",
            "telephone_number": "904-737-2216",
            "fax_number": "904-737-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 UNIVERSITY BLVD S # 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164316",
            "telephone_number": "904-737-2216",
            "fax_number": "904-737-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLIDAY'S DRUGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-737-2216"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "FL",
            "license": "PH528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PH528",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Angela Hall
• Hall's Way Transportation LLC
• Jonah Michael Hallahan, DPT
• Kristina Halleak
• James Alfred Halley, D.O.
• Halliday's Drugs, Inc. (Halliday's & Koivisto's Pharmacy)
• Lorrie Hallmark, RN
• Betty Jean Hallmon, DHSC MS RDN
• Christine Haloda, OD
• Halos Over Hearts, LLC

• Compounding Pharmacy in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Compounding 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.