Signature Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH18497 Issued in FL

Legal business name

SIGNATURE PHARMACY INC

Doing business as

SIGNATURE PHARMACY

Practice address

1200 Kuhl Ave
Orlando, FL 32806-1127

Phone

(407) 426-9944

Fax

(407) 426-9923

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Naomi Loomis

Title

Owner Manager

Phone

(407) 447-9844

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• SIGNATURE PHARMACY Doing business as

Tax ID family

Signature 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.

• Signature Pharmacy Inc

  • Community/Retail Pharmacy
  • Winter Park, FL
  • NPI 1821019878
  NPD tax ID

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1730100785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 KUHL AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061127",
            "telephone_number": "407-426-9944",
            "fax_number": "407-426-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 KUHL AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061127",
            "telephone_number": "407-426-9944",
            "fax_number": "407-426-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "LOOMIS",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "407-447-9844"
    },
    "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": "PH18497",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025722200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1097713",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIGNATURE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lucas Nathaniel Sievert, LMHC
• Rebecca E Siewert, PHARMD, RPH
• Maggie R Sifain, MD
• Sigma Medical Group, LLC
• Mark J Sigman, MD
• Richard D Signer, MD
• Stephanie Louise Signorelli
• Laufey Yr Sigurdardottir, MD
• Sigrun Sigurjonsdottir
• George Sigwald, LMHC

• Community/Retail Pharmacy in Orlando, FL
• Providers in Orlando, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.