Organization Active NPI

Halliday'S Drugs, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
National Provider Identifier
1659408516
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Authorized official

Name
Carolyn S Bass
Title
Manger
Phone
(904) 737-2216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

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

Mailing address

4133 University Blvd S # 1
Jacksonville, FL 32216-4316
Phone (904) 737-2216

Other identifiers 1

IdentifierTypeStateIssuer
100772601MedicaidFL

Other names 1

  • Halliday's & Koivisto's Pharmacy Doing business as

National Provider Directory

National Provider Directory
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.

Locations

4133 University Blvd S
Ste 1
Jacksonville, FL 32216
Phone (904) 737-2216

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1659408516",
    "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": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "904-737-2216"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100772601",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Halliday's & Koivisto's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.