Mercy Community Pharmacy, LLC

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH21941 Issued in FL

Legal business name

MERCY COMMUNITY PHARMACY, LLC

Practice address

362 3Rd St NW
Winter Haven, FL 33881-4002

Phone

(863) 293-0300

Fax

(863) 293-0388

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul V. Rivers, PHARMD.

Title

Pharmacy Manager

Phone

(863) 293-0300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902859960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 3RD ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814002",
            "telephone_number": "863-293-0300",
            "fax_number": "863-293-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 3RD ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814002",
            "telephone_number": "863-293-0300",
            "fax_number": "863-293-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY COMMUNITY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "863-293-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PH21941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Pharmacist 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.