NPIMap

Organization Active NPI

Cancer Specialists, LLC

Doing business as Florida Specialty Pharmacy

  • Pharmacy
  • Jacksonville, FL
National Provider Identifier
1851656607
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH26314 Issued in FL
Legal business name
CANCER SPECIALISTS, LLC
Doing business as
Florida Specialty Pharmacy
Practice address
7015 A C Skinner Parkway
Suite 2
Jacksonville, FL 32256
Phone
(904) 519-2720
Fax
(904) 519-2721
NPI assigned
Jul 9, 2012
Last updated
Jul 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Authorized official

Name
Robert J Phelan, RPH
Title
Ceo
Phone
(904) 519-2720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH26314 FL Primary

Addresses

Primary practice location

7015 A C Skinner Parkway
Suite 2
Jacksonville, FL 32256

Mailing address

7015 Ac Skinner Parkway
Suite 2
Jacksonville, FL 32256
Phone (904) 519-2720

Other identifiers 1

IdentifierTypeStateIssuer
006684800MedicaidFL

Other names 1

  • Florida Specialty Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2349 Village Square Pkwy
Ste 126
Fleming Island, FL 32003
Phone (904) 621-8179

7015 A C Skinner Pkwy
Ste 2
Jacksonville, FL 32256
Phone (904) 519-2720

725 Skymarks Dr
Ste 101
Jacksonville, FL 32218
Phone (904) 367-2611

1658 St Vincents Way
Ste 230
Middleburg, FL 32068
Phone (904) 214-8050

700 3rd St
Ste 302
Neptune Beach, FL 32266
Phone (904) 997-3800

800 Zeagler Dr
Ste 425
Palatka, FL 32177
Phone (386) 326-2970

80 Pinnacles Dr
Ste 700
Palm Coast, FL 32164
Phone (386) 387-8500

Practitioners & affiliated clinicians

Practitioners 70

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.

View all 70

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1851656607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 AC SKINNER PARKWAY",
            "address_2": "SUITE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-519-2720",
            "fax_number": "904-519-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 A C SKINNER PARKWAY",
            "address_2": "SUITE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-519-2720",
            "fax_number": "904-519-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "PHELAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-519-2720",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH26314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006684800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Specialty Pharmacy",
            "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 6, 2021; 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.