Organization Active NPI

Harden-Givens Enterprise , LLC

  • Pharmacy
  • Jacksonville, FL
National Provider Identifier
1821746090
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
HARDEN-GIVENS ENTERPRISE , LLC
Practice address
3416 Moncrief Rd # Set101
Jacksonville, FL 32209-4340
Phone
(904) 900-1491
Fax
(904) 423-0426
NPI assigned
Mar 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Sylvester Joshua Harden-GivensNPI 1598212540
Title
Owner
Phone
(904) 603-1654

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

3416 Moncrief Rd # Set101
Jacksonville, FL 32209-4340

Mailing address

4220 Moncrief Rd
Jacksonville, FL 32209-3976
Phone (904) 603-1654

Other names 1

  • overflow pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

4220 Moncrief Rd
Jacksonville, FL 32209

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1821746090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 MONCRIEF RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322093976",
            "telephone_number": "904-603-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 MONCRIEF RD # SET101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322094340",
            "telephone_number": "904-900-1491",
            "fax_number": "904-423-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDEN-GIVENS ENTERPRISE , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "HARDEN-GIVENS",
        "authorized_official_first_name": "SYLVESTER",
        "authorized_official_middle_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-603-1654"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "overflow pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.