Organization Active NPI

Xtra Discount Drugs HC

  • Community/Retail Pharmacy
  • Haines City, FL
National Provider Identifier
1912034265
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
013701 Issued in FL
Legal business name
XTRA DISCOUNT DRUGS HC
Practice address
401 East Hinson Ave
Haines City, FL 33844
Phone
(863) 421-6399
Fax
(863) 422-7004
NPI assigned
Feb 27, 2007
Last updated
Aug 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Mr. Jimmy Thomas Setzer, REGISTERED PHARMACIS
Title
President
Phone
(205) 467-3347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 013701 FL Primary

Addresses

Primary practice location

401 East Hinson Ave
Haines City, FL 33844

Mailing address

401 East Hinson Ave
Haines City, FL 33844
Phone (863) 421-6399

Other identifiers 1

IdentifierTypeStateIssuer
1076947OtherNAPB

National Provider Directory

National Provider Directory

Locations

401 E Hinson Ave
Haines City, FL 33844
Phone (863) 421-6399

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1912034265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 EAST HINSON AVE",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "33844",
            "telephone_number": "863-421-6399",
            "fax_number": "863-422-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 EAST HINSON AVE",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "33844",
            "telephone_number": "863-421-6399",
            "fax_number": "863-422-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTRA DISCOUNT DRUGS HC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "SETZER",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-467-3347",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REGISTERED PHARMACIS"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "013701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAPB",
            "identifier": "1076947",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.