Organization Active NPI

Melvin P Livingsten Jr

  • Pharmacy
  • Niceville, FL
National Provider Identifier
1679638753
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH15121 Issued in FL
Legal business name
MELVIN P LIVINGSTEN JR
Practice address
1189 John Sims Pkwy
Niceville, FL 32578
Phone
(850) 729-3684
Fax
(850) 729-0944
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Melvin P Livingsten Jr., RPH
Title
RPH Owner
Phone
(850) 729-3684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH15121 FL Primary

Addresses

Primary practice location

1189 John Sims Pkwy
Niceville, FL 32578

Mailing address

1189 John Sims Pkwy
Niceville, FL 32578
Phone (850) 729-3684

Other names 1

  • Dougs Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1189 John Sims Pkwy E
Niceville, FL 32578
Phone (850) 729-3684

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679638753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1189 JOHN SIMS PKWY",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "32578",
            "telephone_number": "850-729-3684",
            "fax_number": "850-729-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 JOHN SIMS PKWY",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "32578",
            "telephone_number": "850-729-3684",
            "fax_number": "850-729-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVIN P LIVINGSTEN JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTEN",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "RPH OWNER",
        "authorized_official_telephone_number": "850-729-3684",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH15121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dougs Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Niceville, FL

Sources for this page

  • 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.