Emerald Coast Compounding Pharmacy

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

EMERALD COAST COMPOUNDING PHARMACY

Practice address

7 Town Center Loop
Unit C-15
Santa Rosa Beach, FL 32459-8736

Phone

(850) 628-6243

Fax

(850) 622-0580

NPI assigned

Aug 25, 2010

Organization subpart

No

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

Authorized official

Name

Mr. George Thomas Flowers, RPH

Title

Pharmacist

Phone

(850) 628-6243

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1881900074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 TOWN CENTER LOOP",
            "address_2": "UNIT 1-B",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324590700",
            "telephone_number": "850-628-6243",
            "fax_number": "850-622-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 TOWN CENTER LOOP",
            "address_2": "UNIT C-15",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324598736",
            "telephone_number": "850-628-6243",
            "fax_number": "850-622-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "850-628-6243",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Dutoit, OTR/L
• Kane Ethan Edwards, MD
• Walter John Edwardson
• Elevate Health and Wellness, LLC (Elevate Wellness)
• Joan Ellison, PHARMD
• Emerald Coast Durable Medical Equipment, LLC
• Emerald Coast Endoscopy Center LLC
• Emerald Coast Medical Supplies LLC
• Emerald Coast Medical Supplies LLC
• Emerald Coast Therapeutics PLLC

• Compounding Pharmacy in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Compounding Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.