NPIMap

Organization Active NPI

Solantic of South FL LLC

  • Pharmacy
  • Port St Lucie, FL
National Provider Identifier
1780908285
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
HCC 5535 Issued in FL
Legal business name
SOLANTIC OF SOUTH FL LLC
Practice address
784 E Prima Vista Blvd
Port St Lucie, FL 34952-2271
Phone
(772) 878-7311
Fax
(772) 878-7321
NPI assigned
Mar 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Authorized official

Name
Karen Bowling
Title
Ceo
Phone
(904) 223-2330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X HCC 5535 FL Primary

Addresses

Primary practice location

784 E Prima Vista Blvd
Port St Lucie, FL 34952-2271

Mailing address

8711 Perimeter Park Blvd
Suite 6
Jacksonville, FL 32216-6388
Phone (904) 223-2330

National Provider Directory

National Provider Directory
Tax ID family
Solanticsouth FL LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1780908285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 PERIMETER PARK BLVD",
            "address_2": "SUITE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166388",
            "telephone_number": "904-223-2330",
            "fax_number": "904-425-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 E PRIMA VISTA BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349522271",
            "telephone_number": "772-878-7311",
            "fax_number": "772-878-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLANTIC OF SOUTH FL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "BOWLING",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-223-2330"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "HCC 5535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.