Active NPI
J H Harvey Co LLC
- Community/Retail Pharmacy
- Tallahassee, FL
National Provider Identifier
1750499125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH21683
- Legal business name
- J H HARVEY CO LLC
- Doing business as
- HARVEYS SUPERMARKET PHARMACY #63
- Practice address
- 5010 W Tennessee St
Tallahassee, FL 32304-3554 - Phone
- (850) 575-2380
- Fax
- (850) 575-3047
- NPI assigned
- Aug 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roy Wilson
- Title
- Director of Pharmacy
- Phone
- (229) 686-9411
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PH21683 | FL | |
| Community/Retail Pharmacy | 3336C0003X | PH21683 | FL | Primary |
Addresses
Primary practice location
5010 W Tennessee St
Tallahassee, FL 32304-3554
Mailing address
PO Box 1000
Portland, ME 04104-5005
Phone (207) 885-3161
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013818 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 031337800 | Medicaid | FL |
Other names 1
- HARVEYS SUPERMARKET PHARMACY #63
National Provider Directory
National Provider Directory- Tax ID family
- J H Harvey Co LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Statesboro, GA
- NPI 1750499000
-
- Community/Retail Pharmacy
- Nashville, GA
- NPI 1538221197
Locations
5010 W Tennessee St
Tallahassee, FL 32304
Phone (850) 575-2380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218499200000",
"number": "1750499125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041045005",
"telephone_number": "207-885-3161",
"fax_number": "207-885-3121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5010 W TENNESSEE ST",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323043554",
"telephone_number": "850-575-2380",
"fax_number": "850-575-3047"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J H HARVEY CO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-27",
"last_updated": "2008-08-12",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "ROY",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "229-686-9411"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "PH21683",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH21683",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "1013818",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "031337800",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HARVEYS SUPERMARKET PHARMACY #63",
"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 Aug 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.