Avalon Park Pharmacy Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

PH24071 Issued in FL

Legal business name

AVALON PARK PHARMACY CORPORATION

Practice address

457 Avalon Park South Blvd
Suite 300
Orlando, FL 32828-6997

Phone

(407) 482-8228

Fax

(407) 482-8229

NPI assigned

Jan 7, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Valentine Chike Okonkwo, PHARM.DNPI 1609001254

Title

Ceo

Phone

(407) 482-8228

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Valentine Chike Okonkwo, PHARM.D

  • Pharmacist
  • Orlando, FL
  • NPI 1609001254
  NPD (past) Authorized official

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1689911992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 AVALON PARK SOUTH BLVD",
            "address_2": "SUITE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328286997",
            "telephone_number": "407-482-8228",
            "fax_number": "407-482-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 AVALON PARK SOUTH BLVD",
            "address_2": "SUITE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328286997",
            "telephone_number": "407-482-8228",
            "fax_number": "407-482-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON PARK PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "OKONKWO",
        "authorized_official_first_name": "VALENTINE",
        "authorized_official_middle_name": "CHIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-482-8228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "PH24071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Available Transportation, LLC
• Avalon Family Services, LLC
• Avalon Park Eye Care, LLC
• Avalon Park Family Medicine
• Avalon Park Home Healthcare, LLC
• Avalon Park Urgent Care
• Avalon SH Management (Encore at Avalon Park)
• Avalon's Assisted Living
• Avalon's Assisted Living II
• Avalondental Group

• Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.