Sheppard Apothecary

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH26280 Issued in FL

Legal business name

SHEPPARD APOTHECARY

Doing business as

Royal Pharmacy

Practice address

3793 Highway 4
Jay, FL 32565-1756

Phone

(850) 675-6990

Fax

(850) 675-6991

NPI assigned

Jul 31, 2012

Last updated

May 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Sheppard, PHARMDNPI 1841332806

Title

Owner/Pharmacist

Phone

(850) 675-6990

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Royal Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• Daniel Dayon Sheppard, PHARMD.

  • Pharmacotherapy Pharmacist
  • Jay, FL
  • NPI 1841332806
  NPD (past) Authorized official

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1851647515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 575",
            "city": "JAY",
            "state": "FL",
            "postal_code": "325650575",
            "telephone_number": "850-675-6990",
            "fax_number": "850-675-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3793 HIGHWAY 4",
            "city": "JAY",
            "state": "FL",
            "postal_code": "325651756",
            "telephone_number": "850-675-6990",
            "fax_number": "850-675-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPPARD APOTHECARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "850-675-6990",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26280",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136298",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006680400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Reeves
• Kelly Turman Robbins
• Tyler Dewayne Roley
• Stephanie Jean Samons, PTA
• Blair Saucer
• Daniel Dayon Sheppard, PHARMD.
• Amy Simonetta
• Cleatious David Smith, MD
• David Garrett Smith, PHARM. D
• John-Stewart Michael Smith, MD

• Community/Retail Pharmacy in Jay, FL
• Providers in Jay, 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 May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.