SERVICE PRO PHARMACY LLC (NPI# 1700233368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700233368 |
| Entity Type | Organization |
| Organization Name | SERVICE PRO PHARMACY LLC |
| Other Organization Name | SERVICE PRO PHARMACY |
| Practice Address |
6472 Highway 90 Milton FL 32570-4560 |
| Mailing Address |
6472 Highway 90 Milton FL 32534 |
| Practice Telephone | 8505640880 |
| Practice Fax Number | 8505640884 |
| Mailing Telephone | 8505640880 |
| Mailing Fax Number | 8505640884 |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-06-07 |
| Authorized Official Name | STUART VIATOR (OWNER PRESIDENT) |
| Authorized Official Telephone | 8505165886 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH29970 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2160230 | 01 |
| Other Name | Type Code |
|---|---|
| Service Pro Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477095685 | Service Pro Pharmacy LLC | Pharmacy | 4880 Woodbine Rd, Pace, FL 32571-8762 | 2016-11-07 |
| Street Address |
6472 HIGHWAY 90 |
| City | MILTON |
| State | FL |
| Zip Code | 32570-4560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902365604 | Megan Lasure | Behavior Technician | 5950 Berryhill Medical Park Dr Ste B, Milton, FL 32570 | 2019-03-13 |
| 1104328681 | Katherine Smith Lockler | Foster Care Agency | 6357 Brigadier Road, Milton, FL 32570 | 2018-03-01 |
| 1750565768 | Emerald Coast Surgical Specialists Pa | Surgery | 5992 Berryhill Road, 203, Milton, FL 32570 | 2007-12-27 |
| 1285815662 | Chandria Lynn Johnson Md Pa | Obstetrics & Gynecology | 5950 Berryhill Medical Park Dr, Suite B, Milton, FL 32570 | 2007-11-14 |
| 1659590255 | Medical Associates Ltd | Specialist | 5950 Berryhill Medical, Milton, FL 32570 | 2007-04-24 |
| 1255404620 | Jonathan E Fountain Md | Family Medicine | 5976 Berryhill Rd, Milton, FL 32570 | 2006-11-15 |
| 1043317530 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 6501 Caroline St Hwy 90, Milton, FL 32570 | 2006-09-19 |
| 1497764484 | Jennfer A Godfrey | Speech-Language Pathologist | 5165 Canal Street, Milton, FL 32570 | 2006-08-07 |
| 1316977135 | Rural Metro of North Florida Inc | Ambulance | 4930 Glover Lane, Milton, FL 32570 | 2006-07-04 |
| 1558304519 | Pensacola Nephrology Pa | Specialist | 5934 Berryhill Medical Park Dr, Suite 1, Milton, FL 32570 | 2006-06-14 |
| Find all providers in zip 32570 | ||||
| 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 |
|---|---|---|---|---|
| 1205231495 | West Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 278 East Main St., Milton, WV 25541-1506 | 2014-10-30 |
| 1952532319 | Walgreen Co. | Pharmacy | 6506 Caroline St, Milton, FL 32570-4778 | 2009-08-04 |
| 1407994478 | Milton Pharmacy,inc. | Pharmacy | 614 Mulberry St, Milton, DE 19968-1516 | 2007-02-02 |
| 1538248562 | Park Avenue Pharmacy, Inc. | Pharmacy | 5440 Dogwood Dr, Milton, FL 32570-3700 | 2006-11-02 |
| 1952402414 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 37 Mahoning St, Milton, PA 17847-1027 | 2006-09-26 |
| 1851491286 | Cvs Pharmacy Inc | Pharmacy | 10 Bassett St Milton Market Plz, Milton, MA 02186 | 2006-09-25 |
| 1013953504 | Mercy Health System Corporation | Pharmacy | 725 S Janesville St, Milton, WI 53563-1775 | 2006-06-21 |
| 1497220701 | Sungil Ho | Pharmacy | 900 Meridian E Ste 23, Milton, WA 98354-7003 | 2018-10-12 |
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| 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 | ||||
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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.