OCEAN SIDE PHARMACY (NPI# 1104990621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104990621 |
| Entity Type | Organization |
| Organization Name | OCEAN SIDE PHARMACY |
| Practice Address |
1118 Colonnades Dr Ft Pierce FL 34949-3063 |
| Practice Telephone | 7724651118 |
| Practice Fax Number | 7724652426 |
| Mailing Telephone | 7724651118 |
| Mailing Fax Number | 7724652426 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | MR. LARRIE DAVID SESKIN (OWNER) |
| Authorized Official Telephone | 7724651118 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 102373000 | 05 |
| Street Address |
1118 COLONNADES DR |
| City | FT PIERCE |
| State | FL |
| Zip Code | 34949-3063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528459666 | Lazaro R Completo Jr. | Internal Medicine | #c-823 2400 South Ocean Drive, Fort Pierce, FL 34949 | 2015-02-11 |
| 1518181833 | Drew Leland Peterson | Chiropractor | 1010 South Us#1, Fort Pierce, FL 34949 | 2007-04-11 |
| 1225524259 | Infectious Disease Consultants, LLC | Skilled Nursing Facility | 13 Harbour Isle Dr W Ph 2, Fort Pierce, FL 34949-2765 | 2018-07-02 |
| 1568804862 | Lisa Renee Cason | Nurse Practitioner | 13 Harbour Isle Dr W, West Ph2, Fort Pierce, FL 34949-2765 | 2013-07-27 |
| 1508200197 | Hazem Eluri | Pharmacist | 16 Harbour Isle Dr W Unit 304, Fort Pierce, FL 34949-2768 | 2013-04-25 |
| 1922114289 | Arthur Pierre-louis | Psychiatry & Neurology | 22 Harbour Isle Dr W, Apt 306, Fort Pierce, FL 34949-2774 | 2006-08-21 |
| 1467875195 | Viany E Adache | Developmental Therapist | 29 Harbour Isle Dr W Unit 206, Fort Pierce, FL 34949-2781 | 2014-01-31 |
| 1942823786 | Jessica Rigal | Social Worker | 30 Harbour Isle Dr W Unit 202, Hutchinson Island, FL 34949-2782 | 2020-05-27 |
| 1023026218 | Frank Pierrepont Whitridge Jr. | Massage Therapist | 1232 Bonefish Ct, Fort Pierce, FL 34949-2901 | 2006-08-03 |
| 1255315743 | Chi Chiou Liu | Family Medicine | 1102 Colonnades Dr, Fort Pierce, FL 34949-3063 | 2005-11-30 |
| Find all providers in zip 34949 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452974 | Curry Ford Pharmacy LLC | Pharmacy | 4538 Curry Ford Rd, Orlando, FL 32812-2711 | 2020-09-19 |
| 1225641525 | Englewood Pharmaceutical Services Inc | Pharmacy | 1720 S Mccall Rd Ste J, Englewood, FL 34223-4867 | 2020-08-26 |
| 1972115103 | Intellrx Consulting LLC | Pharmacy | 1257 The 12th Fairway, Wellington, FL 33414-5738 | 2020-08-19 |
| 1518577576 | Publix Super Markets, Inc | Pharmacy | 7340 Kathleen Rd, Lakeland, FL 33810-4495 | 2020-08-05 |
| 1962011890 | Green Star Pharmacy | Pharmacy | 2950 Winkler Ave Ste 701, Fort Myers, FL 33916-9322 | 2020-07-27 |
| 1356959134 | Cverx Pharmacy Corp | Pharmacy | 7360 Sw 24th St Ste 29, Miami, FL 33155-1462 | 2020-07-17 |
| 1447877287 | Jerry Voltaire | Pharmacy | 16470 Cedar Run Dr, Orlando, FL 32828-6970 | 2020-06-27 |
| 1598381980 | John Melvin Schemm IIi | Pharmacy | 7617 Bay Port Rd, Orlando, FL 32819-5504 | 2020-06-22 |
| 1891318267 | Empire Specialty Pharmacy LLC | Pharmacy | 749 S Apollo Blvd, Melbourne, FL 32901-1457 | 2020-05-20 |
| 1992334205 | Mypills Pharmacy LLC | Pharmacy | 303a E 1st St, Sanford, FL 32771-1377 | 2020-04-07 |
| 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.