Organization Active NPI

East Hill Pharmacy Inc

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • Pensacola, FL
National Provider Identifier
1932275690
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH13368 Issued in FL
Legal business name
EAST HILL PHARMACY INC
Doing business as
Medicine Shoppe
Practice address
2899 N 12TH Ave
Pensacola, FL 32503-4001
Phone
(850) 438-7568
Fax
(850) 438-0683
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Authorized official

Name
Dena Ferman, RPH
Title
Third Party Plan Coordinator
Phone
(314) 993-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH13368 FL Primary

Addresses

Primary practice location

2899 N 12TH Ave
Pensacola, FL 32503-4001

Mailing address

2899 N 12TH Ave
Pensacola, FL 32503-4001

Other identifiers 1

IdentifierTypeStateIssuer
1025798OtherOTHER ID NUMBER

Other names 1

  • MEDICINE SHOPPE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191216002408 FL Part B Supplier - Pharmacy 6709210222 Practice locations: Pensacola, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2195539East Hill Pharmacy2899 N 12TH Ave, Pensacola, FL 32503Certificate of waiverOct 8, 2026

National Provider Directory

National Provider Directory

Locations

2899 N 12th Ave
Pensacola, FL 32503
Phone (850) 438-7568

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": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1932275690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2899 N 12TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2899 N 12TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034001",
            "telephone_number": "850-438-7568",
            "fax_number": "850-438-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST HILL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "FERMAN",
        "authorized_official_first_name": "DENA",
        "authorized_official_title_or_position": "THIRD PARTY PLAN COORDINATOR",
        "authorized_official_telephone_number": "314-993-6000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH13368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1025798",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "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 Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.