South Walton Pharmacy LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

Legal business name

SOUTH WALTON PHARMACY LLC

Doing business as

Pharma Fusion
Santa Rosa Pharmacy

Practice address

2050 W County Highway 30a Unit M1-106
Santa Rosa Beach, FL 32459-0187

Phone

(850) 622-3313

Fax

(850) 622-3255

NPI assigned

Mar 23, 2011

Last updated

Jul 7, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sajal K Roy

Title

President/Director

Phone

(850) 622-3313

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 2

• PHARMA FUSION Doing business as
• Santa Rosa Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

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

Medicare medical equipment & supply locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joan Ellison, PHARMD

  • Pharmacist
  • Santa Rosa Beach, FL
  • NPI 1215524442
  NPD
• Amanda Bercey, PHARMD

  • Pharmacist
  • Santa Rosa Beach, FL
  • NPI 1962783787
  NPD (past)
• Joann Eleanore Berry-Bedell, RPH

  • Pharmacist
  • Santa Rosa Beach, FL
  • NPI 1124824750
  NPD (past)
• Vu Thy Ngan Phan, PHARMACIST

  • Pharmacist
  • Santa Rosa Beach, FL
  • NPI 1629933361
  NPD (past)
• Elena Ryazhapova, PHARMD

  • Pharmacist
  • Santa Rosa Beach, FL
  • NPI 1265102297
  NPD (past)

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1942509401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 W COUNTY HIGHWAY 30A",
            "address_2": "M1-106",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324590187",
            "telephone_number": "850-622-3313",
            "fax_number": "850-622-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 W COUNTY HIGHWAY 30A UNIT M1-106",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324590187",
            "telephone_number": "850-622-3313",
            "fax_number": "850-622-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH WALTON PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "SAJAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "850-622-3313"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25428",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117267300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130225",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMA FUSION",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Santa Rosa Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sophrosyne Florida
• Soroka Starbuck PA Dba Family Chiropractic Center
• Brian Keith Soroka, D.C.
• South Walton Academy, Inc.
• South Walton Fire District
• South Walton Physical Therapy and Rehabilitation, Inc
• South Walton Therapy Contracting LLC (South Walton Physical Therapy & Wellness)
• Southern Meridian Inc (Santa Rosa Pharmacy)
• Southern Radiology Specialists of Destin PLLC (Dolphin Diagnostic Imaging)
• Southern Wellness, LLC

• Specialty Pharmacy in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Specialty Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.