Organization Active NPI

Clay Pharmacy Inc

  • Pharmacy
  • Green Cove Springs, FL
National Provider Identifier
1689402133
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
CLAY PHARMACY INC
Practice address
116 N Orange Ave
Green Cove Springs, FL 32043-3404
Phone
(904) 863-3884
Fax
(866) 405-5986
NPI assigned
Jul 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Felix N. Nzengung, RPHNPI 1811161730
Title
Owner
Phone
(301) 379-8111

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
Pharmacy 333600000X Primary

Addresses

Primary practice location

116 N Orange Ave
Green Cove Springs, FL 32043-3404

Mailing address

3100 Michelle CT
Green Cove Springs, FL 32043-8714
Phone (301) 379-8111

Other names 1

  • CLAY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

116 N Orange Ave
Green Cove Springs, FL 32043
Phone (904) 863-3884

Practitioners & affiliated clinicians

Practitioners 1

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": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1689402133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 MICHELLE CT",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320438714",
            "telephone_number": "301-379-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N ORANGE AVE",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320433404",
            "telephone_number": "904-863-3884",
            "fax_number": "866-405-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "NZENGUNG",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-379-8111",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CLAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Cove Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.