NPIMap

Organization Active NPI

Florida Department of Children and Families

Doing business as Florida State Hospital

  • Long Term Care Pharmacy
  • Chattahoochee, FL
National Provider Identifier
1760418933
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES
Doing business as
Florida State Hospital
Practice address
100 N Main St BLDG 1235
Chattahoochee, FL 32324-1107
Phone
(850) 663-7675
Fax
(850) 663-7385
NPI assigned
Jun 22, 2006
Last updated
Jul 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Authorized official

Name
Tonja McElvin, PHARMD
Title
Director of Pharmacy
Phone
(850) 663-7675

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Institutional Pharmacy 3336I0012X PH6234 FL
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

100 N Main St BLDG 1235
Chattahoochee, FL 32324-1107

Mailing address

PO Box 1000
Chattahoochee, FL 32324-1000
Phone (850) 663-7675

Other names 1

  • FLORIDA STATE HOSPITAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Florida Department of Children and Families9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 N Main St
Bldg 1235
Chattahoochee, FL 32324
Phone (850) 663-7675

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564444800000",
    "number": "1760418933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "CHATTAHOOCHEE",
            "state": "FL",
            "postal_code": "323241000",
            "telephone_number": "850-663-7675",
            "fax_number": "850-663-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST BLDG 1235",
            "city": "CHATTAHOOCHEE",
            "state": "FL",
            "postal_code": "323241107",
            "telephone_number": "850-663-7675",
            "fax_number": "850-663-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2019-07-30",
        "status": "A",
        "authorized_official_last_name": "MCELVIN",
        "authorized_official_first_name": "TONJA",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "850-663-7675",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "FL",
            "license": "PH6234",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLORIDA STATE HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FLORIDA STATE HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattahoochee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.