MARK CASEY PHILLIPS (NPI# 1861720559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861720559 |
| Entity Type | Organization |
| Organization Name | MARK CASEY PHILLIPS |
| Other Organization Name | EXTENDED CARE PHARMACY HASTINGS |
| Practice Address |
100 N Main St Hastings FL 32145 |
| Mailing Address |
Po Box 640 Hastings FL 32145-0640 |
| Practice Telephone | 9046924748 |
| Practice Fax Number | 9046921085 |
| Mailing Telephone | 9046924748 |
| Mailing Fax Number | 9046921085 |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2013-02-05 |
| Authorized Official Name | MARK PHILLIPS (PRESIDENT/PHCY OWNER) |
| Authorized Official Telephone | 9046924748 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH24460 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1050486 | 01 | |
| FL | 002033800 | 05 |
| Other Name | Type Code |
|---|---|
| Extended Care Pharmacy Hastings | Doing Business As Name - Organization |
| Street Address |
100 N MAIN ST |
| City | HASTINGS |
| State | FL |
| Zip Code | 32145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073804357 | Sharon Lee Sprenger | Community Health Worker | 206 Mcclung Ave., 1, Hastings, FL 32145 | 2011-04-21 |
| 1366607335 | Family Care of Palm Coast Pa | Clinic/Center | 4869 Palm Coast Parkway Nw 802, Palm Coast, FL 32145 | 2008-07-18 |
| 1265592745 | S S Marathe Md Pa | Internal Medicine | 201 West Lattin Street, Hastings, FL 32145 | 2006-12-12 |
| 1356318885 | Rural Health Care, Inc. | Clinic/Center | 765 E Saint Johns Ave, Hastings, FL 32145-3936 | 2006-03-03 |
| 1902860182 | G4s Youth Services, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 765 E Saint Johns Ave, Hastings, FL 32145-3936 | 2006-04-14 |
| 1639356389 | Raymond J Mikelionis | Family Medicine | 201 W. Lattin Street, Hastings, FL 32145-4111 | 2008-01-24 |
| 1679822993 | Rural Health Care, Incorporated | Clinic/Center | 201 West Lattin Street, Hastings, FL 32145-4111 | 2012-08-31 |
| 1538369509 | Stephen Joseph Velez | Dentist | 432 S Dancy Ave, Hastings, FL 32145-5428 | 2007-07-19 |
| 1386021897 | Inbound Foundation, Inc. | Psychologist | 6195 S Main St, Hastings, FL 32145-5592 | 2015-05-05 |
| 1720502081 | Patrick Carter | Behavior Technician | 6195 S Main St, Hastings, FL 32145-5592 | 2017-07-28 |
| Find all providers in zip 32145 | ||||
| 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 |
|---|---|---|---|---|
| 1982020590 | B&r Stores, Inc | Pharmacy | 611 N Burlington Ave, Hastings, NE 68901-5037 | 2014-03-07 |
| 1194936682 | Prevos Family Markets, Inc | Pharmacy | 902 W State St, Hastings, MI 49058-1661 | 2007-05-25 |
| 1023023249 | Walgreen Co | Pharmacy | 1017 Vermillion St, Hastings, MN 55033-2840 | 2006-07-29 |
| 1629094081 | Allens of Hastings Inc | Pharmacy | 1115 W 2nd St, Hastings, NE 68901-4974 | 2006-07-15 |
| 1588052492 | Hastings Pharmacy | Pharmacy | 400 W State St, Hastings, MI 49058-1640 | 2014-12-30 |
| 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 | ||||
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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.