Cameo Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH24601 Issued in FL

Legal business name

CAMEO PHARMACY LLC

Practice address

1326 S Pine Ave
# 202
Ocala, FL 34471-6542

Phone

(352) 433-2990

Fax

(352) 433-2993

NPI assigned

Apr 29, 2010

Organization subpart

No

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

Authorized official

Name

John Costa

Title

President

Phone

(352) 572-5562

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cameo Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1851618987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 S PINE AVE",
            "address_2": "# 202",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716542",
            "telephone_number": "352-433-2990",
            "fax_number": "352-433-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 S PINE AVE",
            "address_2": "# 202",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716542",
            "telephone_number": "352-433-2990",
            "fax_number": "352-433-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMEO PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-572-5562"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5700326",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cameo Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camelot Chateau Management Company LLC
• Camelot Community Care
• Camelot Community Care, Inc
• Camelot Community Care, Inc
• Camelot Realty LLC
• Stephanie Lynne Cameron
• Anthony James Campbell, PHARM D
• Jennifer Campbell
• Jennifer Campbell, PHD
• Jennifer Anne Campbell, CNA

• Community/Retail Pharmacy in Ocala, FL
• Providers in Ocala, 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 Jul 14, 2010; 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.