Organization Active NPI

Alpha Drugs

  • Community/Retail Pharmacy
  • Jacksonville, FL
National Provider Identifier
1891850228
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH22400 Issued in FL
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

Updated by the provider on Aug 4, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1023819OtherNCPDP PROVIDER IDENTIFICATION NUMBER
031830200MedicaidFL

Other names 1

  • ALPHA DRUGS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alpha Drug Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

Verify at the official NPI Registry.