Physician Specialty Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH28308 Issued in FL

Legal business name

PHYSICIAN SPECIALTY PHARMACY LLC

Practice address

6258 N W St
Pensacola, FL 32505-1903

Phone

(850) 462-9555

Fax

(850) 462-9554

NPI assigned

Jul 21, 2014

Organization subpart

No

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

Authorized official

Name

Andrew Fisher

Title

Director

Phone

(850) 462-9555

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Physician Specialty Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1922415140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6258 N W ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325051903",
            "telephone_number": "850-462-9555",
            "fax_number": "850-462-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6258 N W ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325051903",
            "telephone_number": "850-462-9555",
            "fax_number": "850-462-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "850-462-9555"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH28308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146913",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physician Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Georgia Philpot
• Chad Eugene Phipps, CRNA
• Suzanne Phlegar
• Eleanor Phoenix
• Physician Associates of the Palm Beaches
• Physicians Associates of Pensacola, Inc.
• Physiofix LLC
• Jodi C Picasso, M.D.
• William S Pickens, MD
• Andrew Pickering, APRN

• Community/Retail Pharmacy in Pensacola, FL
• Providers in Pensacola, 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 Apr 13, 2017; 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.