NPIMap

Organization Active NPI

Agape Pharmacy

Doing business as Duval County Health Department

  • Clinic Pharmacy
  • Jacksonville, FL
National Provider Identifier
1831102763
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PH19420 Issued in FL
Legal business name
AGAPE PHARMACY
Doing business as
Duval County Health Department
Practice address
120 King St
Jacksonville, FL 32204-2410
Phone
(904) 253-1540
Fax
(904) 253-1890
NPI assigned
Aug 14, 2006
Last updated
Jul 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Authorized official

Name
Lemorris Prier, PHARM.D
Title
Dirtr of Phcy
Phone
(904) 253-2461

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X PH19420 FL Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

120 King St
Jacksonville, FL 32204-2410

Mailing address

900 University Blvd N
MC-96
Jacksonville, FL 32211-9230
Phone (904) 253-1540

Other identifiers 2

IdentifierTypeStateIssuer
2006298OtherPK
026476800MedicaidFL

Other names 1

  • DUVAL COUNTY HEALTH DEPARTMENT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Agape Community Health185 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

900 University Blvd N
#96
Jacksonville, FL 32211

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1831102763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 UNIVERSITY BLVD N",
            "address_2": "MC-96",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322119230",
            "telephone_number": "904-253-1540",
            "fax_number": "904-924-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 KING ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322042410",
            "telephone_number": "904-253-1540",
            "fax_number": "904-253-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "PRIER",
        "authorized_official_first_name": "LEMORRIS",
        "authorized_official_title_or_position": "DIRTR OF PHCY",
        "authorized_official_telephone_number": "904-253-2461",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "FL",
            "license": "PH19420",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2006298",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026476800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DUVAL COUNTY HEALTH DEPARTMENT",
            "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 Jul 29, 2014; 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.