CALLAWAY GULF COAST PHARMACY (NPI# 1790162311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790162311 |
| Entity Type | Organization |
| Organization Name | CALLAWAY GULF COAST PHARMACY |
| Other Organization Name | CALLAWAY GULF COAST PHARMACY |
| Practice Address |
420 N Tyndall Pkwy Panama City FL 32404-6125 |
| Practice Telephone | 8506152000 |
| Mailing Telephone | 8506152000 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |
| Authorized Official Name | ADEL EBRAHIM (PRESIDENT) |
| Authorized Official Telephone | 8503193238 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH29076 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2151701 | 01 |
| Other Name | Type Code |
|---|---|
| CALLAWAY GULF COAST PHARMACY | Doing Business As Name - Organization |
| Street Address |
420 N TYNDALL PKWY |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32404-6125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508278854 | Wayne Harris | Non-emergency Medical Transport (VAN) | 4826 Mccall Ln, Panama City, FL 32404 | 2014-05-21 |
| 1417384769 | Yolanda M Tingler | Social Worker | 7334 Highway 2311, Panama City, FL 32404 | 2013-10-02 |
| 1326482381 | Lydia Ann Rosenberger | Nurse Practitioner | 3520 East 15th Streett, Panama City, FL 32404 | 2013-04-22 |
| 1114288651 | Carly D Taulbee | Physical Therapy Assistant | 626 S Tyndall Pkwy, Panama City, FL 32404 | 2012-05-31 |
| 1770855934 | Lavie Rehab | Skilled Nursing Facility | 636 Tyndall Pkwy, Panama City, FL 32404 | 2012-02-03 |
| 1760695431 | Corey J Seymour | Military Health Care Provider | 4837 Mccall Ln, Panama City, FL 32404 | 2007-05-08 |
| 1336361625 | Vicky Perkins Whitfield | Pharmacist | 3621 Us Hwy 231 N., Panama City, FL 32404 | 2007-05-03 |
| 1528280807 | John Charles Peacock Sr. | Pharmacist | 3621 Us Hwy 231 North, Panama City, FL 32404 | 2007-05-03 |
| 1184782906 | Shelley Isenberg Hickman | Occupational Therapist | 5441 Nehi Rd, Panama City, FL 32404 | 2006-12-05 |
| 1629151931 | Kenneth Michael Plumley | Physician Assistant | 5620 Cherry St, Callaway, FL 32404 | 2006-10-23 |
| Find all providers in zip 32404 | ||||
| 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 |
|---|---|---|---|---|
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1063824787 | Coastal Care Pharmacy LLC | Pharmacy | 11939 Panama City Beach Pkwy, Panama City, FL 32407-2605 | 2014-05-29 |
| 1578807350 | Wal-mart Stores East Lp | Pharmacy | 513 W 23rd St, Panama City, FL 32405-3920 | 2012-11-19 |
| 1780712612 | Panama City Pharmacy Inc | Pharmacy | 1108 Harrison Ave, Panama City, FL 32401-2431 | 2007-03-01 |
| 1326183898 | Manfy Inc | Pharmacy | 2303 W 15th St Ste D, Panama City, FL 32401-1500 | 2007-02-21 |
| 1083789986 | Walgreen Co. | Pharmacy | 301 N Tyndall Pkwy, Panama City, FL 32404-6124 | 2006-11-24 |
| 1275637142 | Holiday Cvs LLC | Pharmacy | 955 W 23rd St, Panama City, FL 32405-3928 | 2006-09-12 |
| 1811091788 | Holiday Cvs LLC | Pharmacy | 660 E Highway 98, Panama City, FL 32401-3612 | 2006-09-12 |
| 1467556316 | Holiday Cvs LLC | Pharmacy | 302 N Tyndall Pkwy, Panama City, FL 32404-6123 | 2006-09-12 |
| 1336704196 | Pancare of Florida, Inc | Pharmacy | 2309 E 15th St, Panama City, FL 32405-6345 | 2019-05-07 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32404 |
Please comment or provide details below to improve the information on CALLAWAY GULF COAST PHARMACY.
| 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.