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FLEMING ISLAND PHARMACY LLC NPI 1760882245


NPI Information

NPI: 1760882245
Provider Name: FLEMING ISLAND PHARMACY LLC

Doing Business As: FLEMING ISLAND PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2349 VILLAGE SQUARE PKWY STE 106
FLEMING ISLAND, FL
ZIP 32003
Phone: (904) 644-8233
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FLEMING ISLAND PHARMACY LLC is a community/retail pharmacy pharmacy in Fleming Island, FL. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. FLEMING ISLAND PHARMACY LLC NPI is 1760882245. The provider is registered as an organization entity type.
The provider Is Doing Business As Fleming Island Pharmacy.

The provider's business location address is:

2349 VILLAGE SQUARE PKWY STE 106
FLEMING ISLAND, FL
ZIP 32003-319
Phone: (904) 644-8233
Fax: (904) 458-4444

The provider's authorized official is Mikhil Joseph .
The authorized official title is Pharmacist/owner and has the following contact phone number (904) 718-7352.

The enumeration date for this NPI number is 9/3/2014 and was last updated on 2/20/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPH27325FLORIDAYes
33336C0004XPharmacyCompounding PharmacyNo
43336L0003XPharmacyLong Term Care PharmacyNo

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
12147634OTHERPK
2013196400MEDICAIDFLORIDA

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: 4/28/2024

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