Organization Active NPI

Everwell Specialty Pharmacy, LLC

  • Mail Order Pharmacy
  • Pensacola, FL
National Provider Identifier
1922610112
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
Legal business name
EVERWELL SPECIALTY PHARMACY, LLC
Doing business as
Everwell Specialty Pharmacy
Practice address
6506 N Davis Hwy
Pensacola, FL 32504-6957
Phone
(850) 473-9190
NPI assigned
Aug 19, 2020
Organization subpart
Yes
Parent organization
REVELATION PHARMACY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Brandon Conti, PHARMD
Title
Pic
Phone
(850) 473-9190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X Primary

Addresses

Primary practice location

6506 N Davis Hwy
Pensacola, FL 32504-6957

Mailing address

6506 N Davis Hwy
Pensacola, FL 32504-6957
Phone (850) 473-9190

Other names 1

  • Everwell Specialty Pharmacy Doing business as

National Provider Directory

National Provider Directory
Part of
Everwell Specialty Pharmacy

Locations

6506 N Davis Hwy
Pensacola, FL 32504
Phone (850) 473-9190

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1922610112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6506 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046957",
            "telephone_number": "850-473-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6506 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046957",
            "telephone_number": "850-473-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERWELL SPECIALTY PHARMACY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REVELATION PHARMACY, LLC",
        "enumeration_date": "2020-08-19",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "CONTI",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "850-473-9190",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Everwell Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Everwell Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.