Prestigerx Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH25464 Issued in FL

Legal business name

PRESTIGERX PHARMACY LLC

Practice address

7200 Normandy Blvd
Suite 4
Jacksonville, FL 32205-6287

Phone

(904) 386-6785

Fax

(904) 592-6580

NPI assigned

May 16, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Ankur A Parikh, RPH

Title

Pharmacy Manager

Phone

(904) 386-6785

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PRESTIGERX PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1740573328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 NORMANDY BLVD",
            "address_2": "SUITE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056287",
            "telephone_number": "904-386-6785",
            "fax_number": "904-592-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 NORMANDY BLVD",
            "address_2": "SUITE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056287",
            "telephone_number": "904-386-6785",
            "fax_number": "904-592-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGERX PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "ANKUR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "904-386-6785",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENCE",
            "identifier": "PH25464",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRESTIGERX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prestige Senior Care
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• Jowana T'Pring Preston-Gray
• Asia D Preston
• Dana Yvonne Preston, PHD, APRN, - C.S
• Laquitter Janell Preston, PMHNP-BC

• Community/Retail Pharmacy in Jacksonville, FL
• Providers in Jacksonville, 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 May 16, 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.