Guardian Pharmacy of NW Florida

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PH25396 Issued in FL

Legal business name

GUARDIAN PHARMACY OF NW FLORIDA

Practice address

212 N Wilson St
Crestview, FL 32536-3438

Phone

(850) 306-3003

Fax

(850) 306-3004

NPI assigned

Jan 26, 2011

Organization subpart

No

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

Authorized official

Name

Robert Dunn

Title

President

Phone

(850) 306-3003

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Guardian Pharmacy of NW Florida Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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

• Karey Green Lambert, RN

  • Registered Nurse
  • Crestview, FL
  • NPI 1578142006
  NPD (past)
• Stacy Lee Quinnell, LPN

  • Licensed Practical Nurse
  • Crestview, FL
  • NPI 1689252603
  NPD (past)
• Christy Dawn Richmond

  • Licensed Practical Nurse
  • Crestview, FL
  • NPI 1093476459
  NPD (past)
• Jennifer Yeager, LPN

  • Licensed Practical Nurse
  • Crestview, FL
  • NPI 1013595834
  NPD (past)

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861798613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GUARDIAN PHARMACY OF NW FLORIDA DEPT 2401",
            "address_2": "P.O. BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460001",
            "telephone_number": "404-389-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N WILSON ST",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325363438",
            "telephone_number": "850-306-3003",
            "fax_number": "850-306-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN PHARMACY OF NW FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-306-3003"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH25396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129820",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003506200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Pharmacy of NW Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Grimes, M.S, CFY-SLP
• Rebecca Grimes
• John Anthony Grossi, PHYSICAL THERAPIST
• Bonnie L. Grundel, PA-C
• Esther Grussing, RBT
• Patricia Guess, RN
• Alix Michelle Lemmon Guiette
• Guillot Enterprises, LLC
• Vishal Gujral, MD
• Gulf Breeze H&R LLC

• Long Term Care Pharmacy in Crestview, FL
• Providers in Crestview, FL by specialty
• Long Term Care Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.