SERVICE DRUG STORE INC (NPI# 1417148396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417148396 |
| Entity Type | Organization |
| Organization Name | SERVICE DRUG STORE INC |
| Practice Address |
5341 Brown St. Graceville FL 32440 |
| Mailing Address |
P.o. Box 216 Graceville FL 32440 |
| Practice Telephone | 8502633257 |
| Practice Fax Number | 8502633220 |
| Mailing Telephone | 8502633257 |
| Mailing Fax Number | 8502633220 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2013-11-15 |
| Authorized Official Name | MRS. STACY M COOK (OWNER/PRESIDENT) |
| Authorized Official Telephone | 8502633257 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH25848 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 100454901 | 05 | |
| FL | 100454900 | 05 | |
| FL | NABP | 1039153 | 01 |
| Street Address |
5341 BROWN ST. |
| City | GRACEVILLE |
| State | FL |
| Zip Code | 32440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669543310 | Terry Emmitt Nichols | Dentist | 966 7th Ave, Graceville, FL 32440 | 2006-11-13 |
| 1740365519 | John T Crutchfield | Pharmacist | 5341 Brown Street, Graceville, FL 32440 | 2006-10-27 |
| 1760575104 | Cook Discount Drugs Inc | Pharmacy | 5324 Brown St, Graceville, FL 32440 | 2006-09-30 |
| 1083688311 | Lucinda Weeks Collins | Nurse Practitioner | 5239 Brown St, Graceville, FL 32440 | 2006-02-14 |
| 1043562408 | Karen Clark Ramsey | Nutritionist | 5429 College Drive, Graceville, FL 32440 | 2012-10-10 |
| 1194173419 | Holmes County Hospital Corporation | Clinic/Center | 5556 Brown St, Graceville, FL 32440-1007 | 2016-05-26 |
| 1154847580 | Davis Family Medicine LLC | Family Medicine | 5556 Brown St, Graceville, FL 32440-1007 | 2017-08-17 |
| 1629192919 | Rudd Family Health Care Inc | Clinic/Center | 5517 College Dr, Graceville, FL 32440-1307 | 2007-03-19 |
| 1609072644 | Jackson County Senior Citizens, Inc. | Case Management | 5400 Cliff St, Graceville, FL 32440-1732 | 2007-06-26 |
| 1578587317 | Southern Home Respiratory of Fl | Durable Medical Equipment & Medical Supplies | 5426 Clifff St, Graceville, FL 32440-1734 | 2006-07-26 |
| Find all providers in zip 32440 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| 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 |
|---|---|---|---|---|
| 1760575104 | Cook Discount Drugs Inc | Pharmacy | 5324 Brown St, Graceville, FL 32440 | 2006-09-30 |
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|---|---|---|---|---|
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| 1053911883 | Nrc Pharmd Inc | Pharmacy | 2700 Immokalee Rd Ste 24, Naples, FL 34110-1437 | 2020-10-30 |
| 1073112116 | Hl72 LLC | Pharmacy | 5193 Clark Rd, Sarasota, FL 34233-3213 | 2020-10-20 |
| 1689280851 | Unique Pharmacy Corp | Pharmacy | 7800 Sw 87th Ave Ste 210b, Miami, FL 33173-2537 | 2020-09-22 |
| 1033723127 | Five Pillars Corporation | Pharmacy | 2301 N University Dr Ste 112, Pembroke Pines, FL 33024-3617 | 2020-09-04 |
| 1780297655 | Healthy Living Pharmacy LLC | Pharmacy | 755 Rosemary Cir, Bradenton, FL 34212-5015 | 2020-08-28 |
| 1326651555 | Purformance Wellness Pharmacy LLC | Pharmacy | 600 Se Indian St Ste 3, Stuart, FL 34997-5540 | 2020-08-27 |
| 1043822620 | Specialtycarerx LLC | Pharmacy | 821 N Us Highway 1 Ste A, Ormond Beach, FL 32174-4528 | 2020-08-17 |
| 1831700855 | Kingsley Rx LLC | Pharmacy | 1542 Kingsley Ave Ste 142, Orange Park, FL 32073-4547 | 2020-08-13 |
| 1104435742 | Easyscripts LLC | Pharmacy | 2601 S Military Trl Ste 1, West Palm Beach, FL 33415-7509 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
| City | GRACEVILLE |
| Zip Code | 32440 |
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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.