EXTENDED CARE PHARMACY EAST INC (NPI# 1821375460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821375460 |
| Entity Type | Organization |
| Organization Name | EXTENDED CARE PHARMACY EAST INC |
| Other Organization Name | EXTENDED CARE PHARMACY EAST INC |
| Practice Address |
305 S Us Highway 17 East Palatka FL 32131-4092 |
| Practice Telephone | 3863264487 |
| Practice Fax Number | 3863264437 |
| Mailing Telephone | 3863264487 |
| Mailing Fax Number | 3863264437 |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2012-08-07 |
| Authorized Official Name | MARK CASEY PHILLIPS (CPT/OWNER) |
| Authorized Official Telephone | 3863264487 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH26112 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5708118 | 01 |
| Other Name | Type Code |
|---|---|
| EXTENDED CARE PHARMACY EAST inc | Doing Business As Name - Organization |
| Street Address |
305 S US HIGHWAY 17 |
| City | EAST PALATKA |
| State | FL |
| Zip Code | 32131-4092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619236 | William Garnett Newton | Dentist | 128 Yelvington Rd., East Palatka, FL 32131 | 2020-11-04 |
| 1689845471 | Eastgate Vision Center | Technician/Technologist | 164 Hwy 17 South, Suite 12-c Eastgate Vision Center, East Palatka, FL 32131 | 2008-03-19 |
| 1972714632 | Imraan Ansaarie | Internal Medicine | 215 Hwy 17s, East Palatka, FL 32131 | 2007-05-24 |
| 1861677601 | Michael Joseph Look | Family Medicine | 199 South Highway 17, Suite B, East Palatka, FL 32131-0000 | 2007-12-28 |
| 1639669823 | Sonya Methvin | Licensed Practical Nurse | 455 Yelvington Rd, East Palatka, FL 32131-2108 | 2018-05-14 |
| 1043322209 | Carl Keith Collier | Physical Therapist | 110 Hilty Ln, East Palatka, FL 32131-4004 | 2006-08-31 |
| 1669847539 | Smb Nurse Consultant Service,pllc | Nursing Care | 225 Moritani Point Rd, East Palatka, FL 32131-4010 | 2015-12-03 |
| 1861915829 | Michele Lorraine Davis | Developmental Therapist | 138 E Saint Johns Ter, East Palatka, FL 32131-4028 | 2017-07-21 |
| 1215123278 | Stephanie Nichole Lincoln | Counselor | 213 S Us Highway 17, East Palatka, FL 32131-4087 | 2007-09-23 |
| 1346791498 | Ansaarie Cardiac & Endovascular Center of Excellence | Internal Medicine | 215 Hwy 17s, East Palatka, FL 32131-4087 | 2016-10-24 |
| Find all providers in zip 32131 | ||||
| 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 |
|---|---|---|---|---|
| 1649871583 | Florida Community Health Centers, Inc. | Pharmacy | 9576 S Us Highway 1, Port Saint Lucie, FL 34952-4217 | 2020-11-06 |
| 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 | EAST PALATKA |
| Zip Code | 32131 |
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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.