ORANGE PARK PHARMACY INC NPI 1699227025

NPI Information

  • NPI: 1699227025
  • Provider Name: ORANGE PARK PHARMACY INC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: ORANGE PARK PHARMACY LTC
  • Address: 1992 KINGSLEY AVE
    SUITE B
    ORANGE PARK, FL
    ZIP 32073
  • Phone: (904) 579-3027

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NPI Details

ORANGE PARK PHARMACY 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. ORANGE PARK PHARMACY INC NPI is 1699227025. The provider is registered as an organization entity type.
The provider Is Doing Business As Orange Park Pharmacy Ltc.

The provider's business location address is:

1992 KINGSLEY AVE
SUITE B
ORANGE PARK, FL
ZIP 32073-442
Phone: (904) 579-3027
Fax: (904) 579-4551

The provider's authorized official is Abdalla Mohamed .
The authorized official title is Pharmacy Manager/owner and has the following contact phone number (904) 579-3027.

The enumeration date for this NPI number is 11/2/2016 and was last updated on 7/19/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care PharmacyPH30423FLORIDAYes

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
1023871800MEDICAIDFLORIDA
22166209OTHERPK

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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