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SHANDS TEACHING HOSPITAL AND CLINICS INC. NPI 1396804373


NPI Information

NPI: 1396804373
Provider Name: SHANDS TEACHING HOSPITAL AND CLINICS, INC.
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
4197 NW 86TH TERRACE
SUITE 1131
GAINESVILLE, FL
ZIP 32606
Phone: (352) 733-0090
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SHANDS TEACHING HOSPITAL AND CLINICS, INC. is a pharmacy in Gainesville, FL. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. SHANDS TEACHING HOSPITAL AND CLINICS, INC. NPI is 1396804373. The provider is registered as an organization entity type.

The provider's business location address is:

4197 NW 86TH TERRACE
SUITE 1131
GAINESVILLE, FL
ZIP 32606-271
Phone: (352) 733-0090
Fax: (352) 733-0098

The provider's authorized official is Edward Jimenez .
The authorized official title is Ceo and has the following contact phone number (352) 733-1500.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 8/3/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyPH13786FLORIDANo
2333600000XPharmacyPH13786FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1106077500MEDICAIDFLORIDA
2DSH100113COTHERFLORIDA340B NUMBER
31040308OTHERFLORIDANCPDP NUMBER
41396804373OTHERFLORIDANPI NUMBER
5BS4749581OTHERFLORIDAPHARMACY DEA NUMBER
6P3733OTHERFLORIDABCBS PROVIDER NUMBER

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.