Sims Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH24390 Issued in FL

Legal business name

SIMS PHARMACY LLC

Doing business as

Gulf Breeze Apothecary

Practice address

1177 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4835

Phone

(850) 677-9340

Fax

(850) 677-9087

NPI assigned

Jul 18, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Michael Wilhoit, PHARMD

Title

Owner

Phone

(865) 273-0993

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Gulf Breeze Apothecary Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Gulf Breeze Apothecary2 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.

• Sims Pharmacy LLC

  dba Mac's LTC Pharmacy Gulf Breeze

  • Long Term Care Pharmacy
  • Gulf Breeze, FL
  • NPI 1508454265
  NPD tax ID

Locations

Practitioners 2

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.

• Hollie Shelton Fletcher, PHARM.D.

  • Pharmacist
  • Gulf Breeze, FL
  • NPI 1598060451
  NPD
• Sharon J Sims, RPH

  • Pharmacist
  • Gulf Breeze, FL
  • NPI 1447545926
  NPD (past)

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1679738637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614835",
            "telephone_number": "850-677-9340",
            "fax_number": "850-677-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614835",
            "telephone_number": "850-677-9340",
            "fax_number": "850-677-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "WILHOIT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-273-0993",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH24390",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "114187",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003440500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127790",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Breeze Apothecary",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gulf Breeze Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mina M Sidhom, DMD
• Sight and Sun Eyeworks LLC (Clarkson Eye Care)
• Laura Lee Sigler, ARNP
• Horace Lindsay Simpson, M.D.
• Sims Pharmacy LLC (Mac's LTC Pharmacy Gulf Breeze)
• Sharon J Sims, RPH
• Kerry M Sise, M.S.
• Brett R Smith, MD
• Brian Smith
• Ja'Slynn Smith, RBT

• Pharmacy in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.