Organization Active NPI

Garrett's Pharmacy Services, Inc.

Doing business as The Prescription Shoppe

  • Community/Retail Pharmacy
  • Crestview, FL
National Provider Identifier
1841244316
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH 8508 Issued in FL
Legal business name
GARRETT'S PHARMACY SERVICES, INC.
Doing business as
The Prescription Shoppe
Practice address
536 E 1St Ave
Crestview, FL 32536-2505
Phone
(850) 628-2008
Fax
(850) 682-4145
NPI assigned
May 20, 2006
Last updated
Jan 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Mr. Clifton Lynn Garrett, R.PH.NPI 1477847648
Title
Owner-Pharmacist
Phone
(850) 682-2008

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH 8508 FL Primary

Addresses

Primary practice location

536 E 1St Ave
Crestview, FL 32536-2505

Mailing address

536 E 1St Ave
Crestview, FL 32536-2505
Phone (850) 628-2008

Other identifiers 4

IdentifierTypeStateIssuer
105219502MedicaidFL
P4018OtherFLFL. BLUE CROSS I.D.
1048873OtherFLNCPDP PROVIDER NUMBER
105219500MedicaidFL

Other names 1

  • The Prescription Shoppe Doing business as

National Provider Directory

National Provider Directory

Locations

536 E 1st Ave
Crestview, FL 32536
Phone (850) 398-5091

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1841244316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 E 1ST AVE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325362505",
            "telephone_number": "850-628-2008",
            "fax_number": "850-682-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 E 1ST AVE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325362505",
            "telephone_number": "850-628-2008",
            "fax_number": "850-682-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRETT'S PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER-PHARMACIST",
        "authorized_official_telephone_number": "850-682-2008",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH 8508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105219502",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL. BLUE CROSS I.D.",
            "identifier": "P4018",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER NUMBER",
            "identifier": "1048873",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105219500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Prescription Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crestview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.