Oak Park Pharmacy

LBN: John Knox Village Of Central Florida Inc
Oak Park Pharmacy is an health care organization with primary practice located at 701 Monastery Rd Ste A , Orange City FL 32763-6222. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. John Knox Village Of Central Florida Inc can be contacted via phone (386) 456-1500, or through Skelton, Paul via phone (386) 456-1500.

Contact Information

Primary practice address
701 Monastery Rd Ste A Orange City FL 32763-6222
Fax: (385) 456-1551
Website:
Authorized official contact:
Name: Skelton, Paul

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH28802 Florida
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1902295355
LBN Legal business name John Knox Village Of Central Florida Inc
DBA Doing business as Oak Park Pharmacy
Authorized official Skelton, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2015
Last updated Sep 21st, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902295355 NPPES
Florida MEDICAID 014310400
Florida Other 2149639

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