Active NPI
Everwell Specialty Pharmacy, LLC
- Mail Order Pharmacy
- Pensacola, FL
National Provider Identifier
1922610112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mail Order Pharmacy
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.
-
- Pharmacist
- Pensacola, FL
- NPI 1649240797
-
- Pharmacist
- Pensacola, FL
- NPI 1760783096
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.