ESCAMBIA COMMUNITY CLINICS, INC (NPI# 1073174181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073174181 |
| Entity Type | Organization |
| Organization Name | ESCAMBIA COMMUNITY CLINICS, INC |
| Practice Address |
14 W Jordan St Pensacola FL 32501-1736 |
| Mailing Address |
2315 W Jackson St Pensacola FL 32505-7552 |
| Practice Telephone | 8504332165 |
| Practice Fax Number | 8504333401 |
| Mailing Telephone | 8504364630 |
| Mailing Fax Number | 8504362095 |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2019-06-28 |
| Authorized Official Name | CHANDRA SMILEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8504364630 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275194383 | Escambia Community Clinics, Inc | Pharmacy | 2315 W Jackson St, Pensacola, FL 32505-7552 | 2019-06-28 |
| 1770911505 | Escambia Community Clinics, Inc | Clinic/Center | 1295 W Fairfield Dr, Pensacola, FL 32501-1107 | 2013-10-14 |
| 1275872780 | Escambia Community Clinics, Inc | Clinic/Center | 5868 Creek Station Dr Bldg A, Pensacola, FL 32504-8627 | 2013-02-04 |
| 1366758088 | Escambia Community Clinics, Inc | Clinic/Center | 1201 W Hernandez St, Building E, Pensacola, FL 32501-1815 | 2010-08-19 |
| 1689864035 | Escambia Community Clinics, Inc | Clinic/Center | 5520 Stewart St, Milton, FL 32570-4304 | 2007-07-31 |
| Street Address |
14 W JORDAN ST |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32501-1736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578561221 | Rogelio D Samson | Family Medicine | 14 W Jordan St, Pensacola, FL 32501-1736 | 2005-07-07 |
| 1497251003 | Ladonna Dapremont | Nurse Practitioner | 14 W Jordan St, Ste. 1e, Pensacola, FL 32501 | 2018-04-03 |
| 1639692981 | Hannah Burt | Nurse Practitioner | 14 W Jordan St, Pensacola, FL 32501-1736 | 2017-07-19 |
| 1396283503 | Magan Cook | Nurse Practitioner | 14 W Jordan St, Pensacola, FL 32501-1736 | 2017-02-08 |
| 1316485170 | Jessica Wade | Nurse Practitioner | 14 W Jordan St, Suite C, Pensacola, FL 32501-1736 | 2017-02-01 |
| 1508302605 | Jeremy Olmstead | Nurse Practitioner | 14 W Jordan St, Pensacola, FL 32501-1736 | 2017-01-12 |
| 1730639089 | Alianna Gilmartin | Physician Assistant | 14 W Jordan St, Pensacola, FL 32501-1736 | 2016-10-11 |
| 1164878997 | Jennifer Knight | Nurse Practitioner | 14 W Jordan St, Pensacola, FL 32501-1736 | 2016-05-11 |
| 1699134916 | Jennifer Prince | Nurse Practitioner | 14 W Jordan St, Suite C, Pensacola, FL 32501-1736 | 2016-02-15 |
| 1790142602 | Adare Burke | Nurse Practitioner | 14 W Jordan St, Pensacola, FL 32501-1736 | 2016-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084976 | Steven Bollen | Pharmacist | 870 E Cervantes, Pensacola, FL 32501 | 2020-08-18 |
| 1013558733 | Erica Watts | Social Worker | 901 North I Street, Pensacola, FL 32501 | 2019-10-03 |
| 1972164598 | Yabin Chen | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2019-06-25 |
| 1336700038 | Michael Enriquez | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics- Community Health Nw Fl, 1295 W Fairfield Drive, Pensacola, FL 32501 | 2019-06-24 |
| 1336631803 | Ana Andreea Curta | Student in an Organized Health Care Education/Training Program | Community Health Northwest Florida, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2018-05-31 |
| 1700374618 | Telecia Walker | Massage Therapist | 1720 W. Fairfield Dr., Ste 309, Pensacola, FL 32501 | 2018-04-26 |
| 1578085254 | Mary Holland Hegarty | Physical Therapist | 1000 W, Moreno St, Pensacola, FL 32501 | 2017-07-13 |
| 1184162455 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1525 E Nine Mile Road, Pensacola, FL 32501 | 2017-02-07 |
| 1215271564 | Pathways for Change, Inc | Social Worker | 2050 West Blount Street, Pensacola, FL 32501 | 2012-11-26 |
| 1962697342 | Martha M Green | Family Medicine | 1717 N E St Ste 222a, Pensacola, FL 32501 | 2007-09-10 |
| Find all providers in zip 32501 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619099280 | Walgreen Co. | Pharmacy | 5995 Mobile Hwy, Pensacola, FL 32526-1833 | 2007-04-04 |
| 1275194383 | Escambia Community Clinics, Inc | Pharmacy | 2315 W Jackson St, Pensacola, FL 32505-7552 | 2019-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132631 | Riviera Beach Integrated Care Inc | Pharmacy | 31 W 20th St # 101, Riviera Beach, FL 33404-6155 | 2020-10-18 |
| 1093322851 | Al Mani Health Institute | Pharmacy | 7710 Nw 71st Ct Ste 205a, Tamarac, FL 33321-2931 | 2020-09-25 |
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1114579158 | Doctors Diet Program of South Florida Pllc | Pharmacy | 1501 W Reynolds St, Plant City, FL 33563-4707 | 2019-07-10 |
| 1770007486 | Millenium Clinic Pharmacy Inc | Pharmacy | 12914 Sw 133rd Ct Ste B, Miami, FL 33186-6585 | 2017-08-03 |
| 1902278427 | Metro Treatment of Florida, Lp | Pharmacy | 1415 Homestead Rd, Lehigh Acres, FL 33936-4830 | 2015-10-23 |
| 1942676168 | Trenton Medical Center Inc | Pharmacy | 103 Us Highway 27 Sw, Branford, FL 32008-2767 | 2015-08-12 |
| 1043699044 | Island Rx, LLC | Pharmacy | 90130 Old Hwy Ste 1a, Tavernier, FL 33070-2348 | 2015-05-22 |
| 1528460128 | Doctor Today Tlc, LLC | Pharmacy | 101 Magnolia Ave, Auburndale, FL 33823-4201 | 2014-09-25 |
| 1760881437 | Tampa Family Health Centers Inc | Pharmacy | 6216 E Sligh Avenue, Tampa, FL 33617 | 2014-08-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.