NPIMap

Organization Active NPI

Service Pro Pharmacy LLC

Doing business as Service Pro Pharmacy

  • Community/Retail Pharmacy
  • Milton, FL
National Provider Identifier
1700233368
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH29970 Issued in FL
Legal business name
SERVICE PRO PHARMACY LLC
Doing business as
Service Pro Pharmacy
Practice address
6472 Highway 90
Milton, FL 32570-4560
Phone
(850) 564-0880
Fax
(850) 564-0884
NPI assigned
May 24, 2016
Last updated
Jun 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Authorized official

Name
Stuart Viator
Title
Owner President
Phone
(850) 516-5886

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH29970 FL Primary

Addresses

Primary practice location

6472 Highway 90
Milton, FL 32570-4560

Mailing address

6472 Highway 90
Milton, FL 32534
Phone (850) 564-0880

Other identifiers 1

IdentifierTypeStateIssuer
2160230OtherPK

Other names 1

  • Service Pro Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Service Pro 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

6472 Highway 90
Milton, FL 32570
Phone (850) 564-0880

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1700233368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6472 HIGHWAY 90",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "32534",
            "telephone_number": "850-564-0880",
            "fax_number": "850-564-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6472 HIGHWAY 90",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704560",
            "telephone_number": "850-564-0880",
            "fax_number": "850-564-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICE PRO PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "VIATOR",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "850-516-5886"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH29970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160230",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Service Pro Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.