Organization Active NPI

Angels Pharmacy II LLC

Doing business as Angel's pharmacy

  • Long Term Care Pharmacy
  • Palatka, FL
National Provider Identifier
1689494114
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ANGELS PHARMACY II LLC
Doing business as
Angel's pharmacy
Practice address
610 Zeagler Dr
Palatka, FL 32177
Phone
(386) 325-9300
Fax
(386) 325-9301
NPI assigned
Oct 10, 2024
Last updated
Oct 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Rajendra Patel
Title
Owner
Phone
(386) 325-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

610 Zeagler Dr
Palatka, FL 32177

Mailing address

610 Zeagler Dr
Palatka, FL 32177
Phone (386) 325-9300

Other names 1

  • Angel's pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Angel's Pharmacy2 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.

Locations

610 Zeagler Dr
Palatka, FL 32177
Phone (386) 325-2096

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1689494114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 ZEAGLER DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "32177",
            "telephone_number": "386-325-9300",
            "fax_number": "386-325-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 ZEAGLER DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "32177",
            "telephone_number": "386-325-9300",
            "fax_number": "386-325-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS PHARMACY II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-325-9300"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angel's pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.