Orange Park Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH26578 Issued in FL

Legal business name

ORANGE PARK PHARMACY INC.

Practice address

1992 Kingsley Ave
Orange Park, FL 32073-4442

Phone

(904) 579-3027

Fax

(904) 579-4551

NPI assigned

Mar 29, 2013

Last updated

Dec 9, 2024By 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

Cho Nkengka

Title

Owner

Phone

(904) 579-3027

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Orange Park Pharmacy 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.

• Orange Park Pharmacy Inc

  dba Orange Park Pharmacy LTC

  • Long Term Care Pharmacy
  • Orange Park, FL
  • NPI 1699227025
  NPD tax ID

Locations

Practitioners 3

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.

• Adam Christopher Kelley, PHARMD

  • Pharmacist
  • Jacksonville, FL
  • NPI 1053623918
  NPD
• Cho Nkengla

  • Pharmacist
  • Jacksonville, FL
  • NPI 1326174442
  NPD
• Abdalla Mohamed, PHARMD

  • Pharmacist
  • Lame Deer, MT
  • NPI 1801488796
  NPD (past)

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1649513482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1992 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734442",
            "telephone_number": "904-579-3027",
            "fax_number": "904-579-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1992 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734442",
            "telephone_number": "904-579-3027",
            "fax_number": "904-579-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE PARK PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "NKENGKA",
        "authorized_official_first_name": "CHO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-579-3027"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orange Park Nursing LLC (The Palms Nursing and Rehab at Orange Park)
• Orange Park Opco LLC
• Orange Park Orthopaedic Associates, P.a.
• Orange Park Pediatric Associates, PA
• Orange Park Pharmacy Inc (Orange Park Pharmacy LTC)
• Orange Park Rehabilitation and Nursing Center LLC (Orange Park Rehabilitation and Nursing Center)
• Orange Park Sleep Center LLC
• Orange Park Spine Institute LLC
• Kathryn Orason
• Colleen Orbegoso, RDN, LDN

• Community/Retail Pharmacy in Orange Park, FL
• Providers in Orange Park, 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 Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.