Metcare RX Ormond Beach Pharmaceutical Services, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH20116 Issued in FL

Legal business name

METCARE RX ORMOND BEACH PHARMACEUTICAL SERVICES, LLC

Practice address

1200 W Granada Blvd
Suite 5
Ormond Beach, FL 32174-8156

Phone

(386) 673-2210

Fax

(386) 676-9223

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Gina Hunt

Title

Senior VP Corporate Revenue

Phone

(954) 653-1040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891728580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W GRANADA BLVD",
            "address_2": "SUITE 5",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748156",
            "telephone_number": "386-673-2210",
            "fax_number": "386-676-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W GRANADA BLVD",
            "address_2": "SUITE 5",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748156",
            "telephone_number": "386-673-2210",
            "fax_number": "386-676-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METCARE RX ORMOND BEACH PHARMACEUTICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "SENIOR VP CORPORATE REVENUE",
        "authorized_official_telephone_number": "954-653-1040"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH20116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Ormond Beach, FL
• Providers in Ormond Beach, 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 Aug 22, 2020; 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.