Wamu LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH30024 Issued in FL

Legal business name

WAMU LLC

Practice address

85 Cypress Point Pkwy Unit B
Palm Coast, FL 32164-8455

Phone

(386) 447-8944

Fax

(386) 447-8940

NPI assigned

Mar 7, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Shoyoye, PHARNDNPI 1609208503

Title

Ceo/Pharmacist/Co-Owner

Phone

(386) 447-8944

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• One Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in FL3 enrollments

Enrollment records 3

Tax ID family

One Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wamu LLC

  • Long Term Care Pharmacy
  • Palm Coast, FL
  • NPI 1982239810
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Shoyoye, PHARMD

  • Pharmacist
  • Orange Park, FL
  • NPI 1609208503
  NPD Authorized official
• Mhai Nang Agraba, PHARMD

  • Pharmacist
  • Holly Hill, FL
  • NPI 1457231292
  NPD

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1851751663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 CYPRESS POINT PKWY UNIT B",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321648455",
            "telephone_number": "386-447-8944",
            "fax_number": "386-447-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 CYPRESS POINT PKWY UNIT B",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321648455",
            "telephone_number": "386-447-8944",
            "fax_number": "386-447-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAMU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2021-01-06",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "SHOYOYE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO/PHARMACIST/CO-OWNER",
        "authorized_official_telephone_number": "386-447-8944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARND"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH30024",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH30024",
            "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": "2159154",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walgreens
• Adam Walker, DPT
• Dillan Walls
• John Alan Walsh, MD
• Mary Jane Walter, D.P.M.
• Wamu LLC
• Mark Alan Wanner, DPT
• Hailey Ward
• Jeffrey Ward, D.O.
• Toni Marie Ward

• Community/Retail Pharmacy in Palm Coast, FL
• Providers in Palm Coast, 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 Jan 6, 2021; 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.