NPIMap

Organization Active NPI

Department of Health Central Pharmacy

  • Mail Order Pharmacy
  • Tallahassee, FL
National Provider Identifier
1730194374
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
PH23821 Issued in FL
Legal business name
DEPARTMENT OF HEALTH CENTRAL PHARMACY
Doing business as
Department of Health Central Pharmacy
Practice address
104-2 Hamilton Park Dr.
Tallahassee, FL 32304
Phone
(850) 922-9036
Fax
(850) 922-3608
NPI assigned
Jul 30, 2006
Last updated
Mar 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Authorized official

Name
Jasper Watkins, RPH
Title
Chief
Phone
(850) 922-9036

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU
Mail Order Pharmacy 3336M0002X PH23821 FL Primary

Addresses

Primary practice location

104-2 Hamilton Park Dr.
Tallahassee, FL 32304

Mailing address

104-2 Hamilton Park Dr.
Tallahassee, FL 32304
Phone (850) 922-9036

Other identifiers 3

IdentifierTypeStateIssuer
109974490MedicaidFL
109974400MedicaidFL
1033454OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • DEPARTMENT OF HEALTH CENTRAL PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Agape Community Health185 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1730194374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104-2 HAMILTON PARK DR.",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32304",
            "telephone_number": "850-922-9036",
            "fax_number": "850-922-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104-2 HAMILTON PARK DR.",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32304",
            "telephone_number": "850-922-9036",
            "fax_number": "850-922-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH CENTRAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "JASPER",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "850-922-9036",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "FL",
            "license": "PH23821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109974490",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109974400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1033454",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEPARTMENT OF HEALTH CENTRAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.