Organization Active NPI

Oxford Pharmacy LLC

  • Pharmacy
  • Hudson, FL
National Provider Identifier
1942652110
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH30166 Issued in FL
Legal business name
OXFORD PHARMACY LLC
Doing business as
Oxford Pharmacy LLC
Practice address
12134 US Highway 19
Hudson, FL 34667-2058
Phone
(727) 378-4615
Fax
(727) 378-4915
NPI assigned
Jul 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Authorized official

Name
Dahdrian Adewumi
Title
Pharmacy Owner
Phone
(561) 371-6174

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH30166 FL Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

12134 US Highway 19
Hudson, FL 34667-2058

Mailing address

20205 Autumn Fern Ave
Tampa, FL 33647-2915
Phone (561) 371-6174

Other identifiers 1

IdentifierTypeStateIssuer
2162214OtherPK

Other names 1

  • Oxford Pharmacy LLC Doing business as

National Provider Directory

National Provider Directory

Locations

12134 US Highway 19
Hudson, FL 34667
Phone (727) 378-4615

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1942652110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20205 AUTUMN FERN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472915",
            "telephone_number": "561-371-6174",
            "fax_number": "727-378-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12134 US HIGHWAY 19",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346672058",
            "telephone_number": "727-378-4615",
            "fax_number": "727-378-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "ADEWUMI",
        "authorized_official_first_name": "DAHDRIAN",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "561-371-6174"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH30166",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162214",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oxford Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.