NPIMap

Organization Active NPI

Om TSM LLC

  • Compounding Pharmacy
  • Jacksonville, FL
National Provider Identifier
1982075446
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
OM TSM LLC
Practice address
14965 Old St Augustine Rd Unit 108
Jacksonville, FL 32258-9481
Phone
(904) 619-9000
NPI assigned
Oct 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Authorized official

Name
Mrs. Layla Barnouti, RPH
Title
Pharmacist
Phone
(904) 619-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

14965 Old St Augustine Rd Unit 108
Jacksonville, FL 32258-9481

Mailing address

8681 A C Skinner Pkwy Apt 420
Jacksonville, FL 32256-0844

Other names 1

  • Durbin Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Durbin Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1982075446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8681 A C SKINNER PKWY APT 420",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14965 OLD ST AUGUSTINE RD UNIT 108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322589481",
            "telephone_number": "904-619-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM TSM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "BARNOUTI",
        "authorized_official_first_name": "LAYLA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "904-619-9000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Durbin Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.