Octaviorx Enterprises LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

241361L Issued in VI

Legal business name

OCTAVIORX ENTERPRISES LLC

Doing business as

Christian's Pharmacy & Medical Supplies

Practice address

50 Hannah's Rest
Frederiksted, VI 00840

Phone

(340) 772-0093

Fax

(340) 772-0095

NPI assigned

Nov 24, 2009

Last updated

Sep 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gerard Christian

Title

President

Phone

(340) 772-0093

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Christian's Pharmacy & Medical Supplies Doing business as

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1790013159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "FREDERIKSTED",
            "state": "VI",
            "postal_code": "008410485",
            "telephone_number": "340-772-2234",
            "fax_number": "340-772-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HANNAH'S REST",
            "city": "FREDERIKSTED",
            "state": "VI",
            "postal_code": "00840",
            "telephone_number": "340-772-0093",
            "fax_number": "340-772-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTAVIORX ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "GERARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "340-772-0093"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VI",
            "license": "241361L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5300467",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian's Pharmacy & Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mia Ozimba-Mbuya, DDS
• Rachel D Pakenham, MSW
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• Sherishma Chantell Pennyfeather, MSW, LCSW
• Promed Clinics, LLC

• Community/Retail Pharmacy in Frederiksted, VI
• Providers in Frederiksted, VI by specialty
• Community/Retail Pharmacy in U.S. Virgin Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.