AGAPE PHARMACY (NPI# 1831102763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831102763 |
| Entity Type | Organization |
| Organization Name | AGAPE PHARMACY |
| Other Organization Name | DUVAL COUNTY HEALTH DEPARTMENT |
| Practice Address |
120 King St Jacksonville FL 32204-2410 |
| Mailing Address |
900 University Blvd N Mc-96 Jacksonville FL 32211-9230 |
| Practice Telephone | 9042531540 |
| Practice Fax Number | 9042531890 |
| Mailing Telephone | 9042531540 |
| Mailing Fax Number | 9049241771 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2014-07-29 |
| Authorized Official Name | LEMORRIS PRIER (DIRTR OF PHCY) |
| Authorized Official Telephone | 9042532461 |
| Authorized Official Credential | PHARM.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
PH19420 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2006298 | 01 | |
| FL | 026476800 | 05 |
| Other Name | Type Code |
|---|---|
| DUVAL COUNTY HEALTH DEPARTMENT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740711837 | Agape Pharmacy | Pharmacy | 6349 Lincolnia Rd, Alexandria, VA 22312-1533 | 2017-03-21 |
| 1962822932 | Agape Pharmacy | Pharmacy | 1626 Main St, Columbia, SC 29201-2818 | 2014-04-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Agape Pharmacy Inc. | 6349 Lincolnia Rd, Alexandria, Virginia 22312 |
| Street Address |
120 KING ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295718104 | Christine J Trunk | Dentist | 120 King St, Jacksonville, FL 32204-2410 | 2005-11-23 |
| 1336781772 | Wendy Lynn King | Nurse Practitioner | 120 King St, Jacksonville, FL 32204-2410 | 2019-10-16 |
| 1497269880 | Jau R Evans | Nurse Practitioner | 120 King St, Jacksonville, FL 32204-2410 | 2017-11-22 |
| 1225576499 | Shaunetra Toler | Nurse Practitioner | 120 King St, Jacksonville, FL 32204-2410 | 2017-02-07 |
| 1053863746 | Charles Emerson | Physician Assistant | 120 King St, Jacksonville, FL 32204-2410 | 2016-10-27 |
| 1992154181 | Agape Community Health Center Inc | Pharmacy | 120 King St, Jacksonville, FL 32204-2410 | 2016-06-08 |
| 1962867762 | Agape Community Health Center, Inc. | Clinic/Center | 120 King St, Jacksonville, FL 32204-2410 | 2015-12-21 |
| 1447621420 | Judith Hepburn | Nurse Practitioner | 120 King St, Jacksonville, FL 32204-2410 | 2015-10-15 |
| 1043631435 | Shelly Anthony | Dental Hygienist | 120 King St, Jacksonville, FL 32204-2410 | 2014-01-02 |
| 1205013232 | Florida Department of Health | Public Health or Welfare | 120 King St, Mc 75, Jacksonville, FL 32204-2410 | 2008-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1386695302 | Aids Healthcare Foundation | Pharmacy | 2 Shircliff Way Ste 900, Jacksonville, FL 32204-4753 | 2006-05-15 |
| 1447791769 | Smart Pharmacy Inc | Pharmacy | 14003 Beach Blvd # 1, Jacksonville, FL 32250-1541 | 2017-03-20 |
| 1073921896 | E Pharmacy, Inc. | Pharmacy | 2624 Atlantic Blvd, Suite 3, Jacksonville, FL 32207-3668 | 2014-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132631 | Riviera Beach Integrated Care Inc | Pharmacy | 31 W 20th St # 101, Riviera Beach, FL 33404-6155 | 2020-10-18 |
| 1093322851 | Al Mani Health Institute | Pharmacy | 7710 Nw 71st Ct Ste 205a, Tamarac, FL 33321-2931 | 2020-09-25 |
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1114579158 | Doctors Diet Program of South Florida Pllc | Pharmacy | 1501 W Reynolds St, Plant City, FL 33563-4707 | 2019-07-10 |
| 1770007486 | Millenium Clinic Pharmacy Inc | Pharmacy | 12914 Sw 133rd Ct Ste B, Miami, FL 33186-6585 | 2017-08-03 |
| 1902278427 | Metro Treatment of Florida, Lp | Pharmacy | 1415 Homestead Rd, Lehigh Acres, FL 33936-4830 | 2015-10-23 |
| 1942676168 | Trenton Medical Center Inc | Pharmacy | 103 Us Highway 27 Sw, Branford, FL 32008-2767 | 2015-08-12 |
| 1043699044 | Island Rx, LLC | Pharmacy | 90130 Old Hwy Ste 1a, Tavernier, FL 33070-2348 | 2015-05-22 |
| 1528460128 | Doctor Today Tlc, LLC | Pharmacy | 101 Magnolia Ave, Auburndale, FL 33823-4201 | 2014-09-25 |
| 1760881437 | Tampa Family Health Centers Inc | Pharmacy | 6216 E Sligh Avenue, Tampa, FL 33617 | 2014-08-19 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
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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.