Organization Active NPI

Southlands Enterprises Inc

Doing business as West End Pharmacy

  • Community/Retail Pharmacy
  • Newberry, FL
National Provider Identifier
1679123673
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SOUTHLANDS ENTERPRISES INC
Doing business as
West End Pharmacy
Practice address
25340 W Newberry Rd
Newberry, FL 32669-4252
Phone
(352) 660-2115
Fax
(352) 660-2116
NPI assigned
Sep 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Authorized official

Name
Cecilia Anne Njeru, PHARMDNPI 1407172364
Title
Pharmacy Manager
Phone
(352) 283-9094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

25340 W Newberry Rd
Newberry, FL 32669-4252

Mailing address

6562 SW 90TH St
Gainesville, FL 32608-8569
Phone (352) 283-9094

Other names 1

  • WEST END PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200824000064 FL Part B Supplier - Pharmacy 2769808633 Practice locations: Newberry, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1679123673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6562 SW 90TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326088569",
            "telephone_number": "352-283-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25340 W NEWBERRY RD",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326694252",
            "telephone_number": "352-660-2115",
            "fax_number": "352-660-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLANDS ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "NJERU",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "352-283-9094",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST END PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.