Active NPI
Alpha Drugs
- Community/Retail Pharmacy
- Jacksonville, FL
National Provider Identifier
1891850228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH22400
- Legal business name
- ALPHA DRUGS
- Practice address
- 3723 Southside Blvd
Ste 6
Jacksonville, FL 32216-4685 - Phone
- (904) 996-1401
- Fax
- (904) 996-1401
- NPI assigned
- Dec 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tajusefen Alimi
- Title
- Pharmacy Manager
- Phone
- (813) 610-5158
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH22400 | FL | Primary |
Addresses
Primary practice location
3723 Southside Blvd
Ste 6
Jacksonville, FL 32216-4685
Mailing address
3723 Southside Blvd
Ste 6
Jacksonville, FL 32216-4685
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023819 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 031830200 | Medicaid | FL |
Other names 1
- ALPHA DRUGS
National Provider Directory
National Provider Directory- Tax ID family
- Alpha Drug Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Brandon, FL
- NPI 1316261035
-
- Community/Retail Pharmacy
- Tampa, FL
- NPI 1720149586
Locations
3723 Southside Blvd
Ste 6
Jacksonville, FL 32216
Phone (904) 996-1401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217808000000",
"number": "1891850228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3723 SOUTHSIDE BLVD",
"address_2": "STE 6",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3723 SOUTHSIDE BLVD",
"address_2": "STE 6",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164685",
"telephone_number": "904-996-1401",
"fax_number": "904-996-1401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALPHA DRUGS",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-26",
"last_updated": "2008-08-04",
"status": "A",
"authorized_official_last_name": "ALIMI",
"authorized_official_first_name": "TAJUSEFEN",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "813-610-5158"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH22400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "1023819",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "031830200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ALPHA DRUGS",
"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 Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.