Qrcpc Pharmacy, Inc

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

QRCPC PHARMACY, INC

Practice address

5620 Cherry St Ste a
Panama City, FL 32404-6734

Phone

(850) 388-4333

Fax

(850) 388-4338

NPI assigned

Jul 13, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Tim R. Mixon

Title

President

Phone

(850) 388-4333

Specialties & licenses 3

Addresses

Other names 1

• Vital Care of Panama City Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1801468541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 CHERRY ST STE A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324046734",
            "telephone_number": "850-388-4333",
            "fax_number": "850-388-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 CHERRY ST STE A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324046734",
            "telephone_number": "850-388-4333",
            "fax_number": "850-388-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QRCPC PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "MIXON",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-388-4333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care of Panama City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vital Care of Panama City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anita Purdy, LPN
• Purest Hearts Home Care, LLC
• Timothy David Putman, LMHC
• Jeffrey R Pyne, D.O.
• Gordon Fendel Pyper, BCBA
• David Quach, DMD
• Quality Care Providers Homemaker & Companion LLC
• Tanya Bernadette Quarterman, CH, CI
• Brandy Rae Queijsen, LCSW
• Stephanie Quesada Moore, OD

• Home Infusion Therapy Pharmacy in Panama City, FL
• Providers in Panama City, FL by specialty
• Home Infusion Therapy Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.