Active NPI
Dana Perry McCoy, RPH
- Pharmacist
- Lake City, FL
National Provider Identifier
1710176813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS34012
- Practice address
- 3718 W US Highway 90
Lake City, FL 32055-4897 - Phone
- (386) 755-9300
- NPI assigned
- Oct 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS34012 | FL | Primary |
Addresses
Primary practice location
3718 W US Highway 90
Lake City, FL 32055-4897
Mailing address
13757 86TH Ter
Live Oak, FL 32060-9013
Phone (386) 364-5871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS34012 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205280000000",
"number": "1710176813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13757 86TH TER",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320609013",
"telephone_number": "386-364-5871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3718 W US HIGHWAY 90",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320554897",
"telephone_number": "386-755-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "DANA",
"middle_name": "PERRY",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-15",
"last_updated": "2008-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS34012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.