Organization Active NPI

Osceola Pharmacy of Vero Beach

Doing business as Osceola Pharmacy

  • Pharmacy
  • Vero Beach, FL
National Provider Identifier
1982974572
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH25826 Issued in FL
Legal business name
OSCEOLA PHARMACY OF VERO BEACH
Doing business as
Osceola Pharmacy
Practice address
1635 14TH Ave
Vero Beach, FL 32960-0435
Phone
(772) 562-3600
Fax
(772) 562-3650
NPI assigned
Jan 12, 2012
Last updated
Jan 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Authorized official

Name
Pujan Patel
Title
Owner
Phone
(772) 562-3660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH25826 FL Primary

Addresses

Primary practice location

1635 14TH Ave
Vero Beach, FL 32960-0435

Mailing address

1635 14TH Ave
Vero Beach, FL 32960-0435
Phone (772) 562-3600

Other identifiers 1

IdentifierTypeStateIssuer
5708702OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Osceola Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Osceola 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.

Locations

1635 14th Ave
Vero Beach, FL 32960
Phone (772) 562-3660

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1982974572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 14TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329600435",
            "telephone_number": "772-562-3600",
            "fax_number": "772-562-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 14TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329600435",
            "telephone_number": "772-562-3600",
            "fax_number": "772-562-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCEOLA PHARMACY OF VERO BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PUJAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-562-3660"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH25826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5708702",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osceola Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.