Active NPI
Melvin P Livingsten Jr
- Pharmacy
- Niceville, FL
National Provider Identifier
1679638753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PH15121
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Cape Coral, FL
- NPI 1437238813
-
- Pharmacist
- Niceville, FL
- NPI 1114066107
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.