ATKINSONS MART INC NPI 1073512430

NPI Information

  • NPI: 1073512430
  • Provider Name: ATKINSONS MART INC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: ATKINSONS HEALTHCARE
  • Address: 100 OLD ORANGE PARK RD
    ORANGE PARK, FL
    ZIP 32073
  • Phone: (904) 264-7578

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NPI Details

ATKINSONS MART INC is a long term care pharmacy pharmacy in Orange Park, FL. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. ATKINSONS MART INC NPI is 1073512430. The provider is registered as an organization entity type.
The provider Is Doing Business As Atkinsons Healthcare.

The provider's business location address is:

100 OLD ORANGE PARK RD
ORANGE PARK, FL
ZIP 32073-003
Phone: (904) 264-7578
Fax: (904) 269-8079

The provider's authorized official is Robert Allen .
The authorized official title is President and has the following contact phone number (904) 264-7578.

The enumeration date for this NPI number is 7/19/2005 and was last updated on 2/22/2017.

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
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336L0003XPharmacyLong Term Care PharmacyPH2425FLORIDAYes

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
12008643OTHERPK
20463020001MEDICARE NSC
3102195800MEDICAIDFLORIDA

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: 3/30/2025

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