NEPTUNE BEACH PHARMACY LLC – NPI #1568725984
Pharmacist

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.

NEPTUNE BEACH PHARMACY LLC is a pharmacist located in NEPTUNE BEACH, FL. NPPES has assigned the NPI number 1568725984 to NEPTUNE BEACH PHARMACY LLC on June 20, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 1835P1200X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist, specializing in Pharmacotherapy

The NPI profile was previously updated about 13 years ago on Jan 17, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NEPTUNE BEACH PHARMACY LLC below.

NPI Profile for
NEPTUNE BEACH PHARMACY LLC

NPI Number
1568725984
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NEPTUNE BEACH PHARMACY LLC
Doing Business As (dba): NEPTUNE BEACH PHARMACY LLC
Primary location
1529 ATLANTIC BLVD
NEPTUNE BEACH, FL 32266
Phone: (904) 685-4919 Fax: (904) 685-2390
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EDET SAMPSON
OWNER
Phone: (904) 685-4919
Updated
Identifiers

Identifiers for NEPTUNE BEACH PHARMACY LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL111
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
1835P1200X
- Pharmacist / Pharmacotherapy (Primary)
FL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.