EXTENDED CARE PHARMACY INC. NPI 1013913680

NPI Information

  • NPI: 1013913680
  • Provider Name: EXTENDED CARE PHARMACY, INC.
  • Classification: Pharmacist - 183500000X
  • Entity Type: Organization
  • Address: 6400 CRILL AVE
    PALATKA, FL
    ZIP 32177
  • Phone: (386) 325-5505

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NPI Details

EXTENDED CARE PHARMACY, INC. is a pharmacist in Palatka, FL. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. EXTENDED CARE PHARMACY, INC. NPI is 1013913680. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6400 CRILL AVE
PALATKA, FL
ZIP 32177-876
Phone: (386) 325-5505
Fax: (386) 328-9393

The provider's authorized official is Mark Casey Phillips .
The authorized official title is Vice President and has the following contact phone number (386) 325-5505.

The enumeration date for this NPI number is 6/28/2005 and was last updated on 8/7/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1032497300MEDICAIDFLORIDA
21088803OTHERFLORIDANCPDP
31301920001MEDICARE NSCFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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