North Beaches Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NORTH BEACHES PHARMACY INC

Practice address

730 Beach Blvd Ste 104
Jacksonville, FL 32250

Phone

(904) 241-5171

Fax

(904) 241-0437

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Judy Wood

Title

Owner,Pres,Ao

Phone

(904) 241-5171

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• NORTH BEACHES PHARMACY INC Doing business as

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1851452676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 BEACH BLVD STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322505352",
            "telephone_number": "904-241-5171",
            "fax_number": "904-241-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 BEACH BLVD STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32250",
            "telephone_number": "904-241-5171",
            "fax_number": "904-241-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BEACHES PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OWNER,PRES,AO",
        "authorized_official_telephone_number": "904-241-5171"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "FL",
            "license": "PH7967",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2006425",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH BEACHES PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTH BEACHES PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mackenzie Norrell
• David W Norris, OTR/L
• Gregory Alan Norris Jr., NP-C
• Shawn Norris, RID: ED K-12
• Sheila S Norris, OTR/L
• North East Florida Endocrine and Diabetes Assoc PA
• North East Florida Endocrine and Diabetes Association, PA
• North East Florida Endocrine Diabetes
• North Florida Acute Care Specialists LLC
• North Florida Addiction Medicine

• Community/Retail Pharmacy in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.