| NPI | 1104994342 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-12-04 |
| Last Updated | 2016-09-29 |
| Authorized Official | James Parker PRES Phone: 9042613171 |
| Mailing Address | Po Box 518 Fernandina Beach, FL 32035-0518 United States 📍 View Map |
| Primary Practice Address | 1551 S 14th St, Ste 1 Fernandina Beach, FL 32034-1930 United States Phone: (904) 261-3171 | Fax: (904) 321-0685 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | FL | 102064100 | — |
| Other (non-Medicare) | — | 2004149 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | — | — |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | FL | PH1804 |
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About NPI 1104994342
Waas Drug Store Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1104994342. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Fernandina Beach, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-12-04. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104994342?
NPI 1104994342 belongs to Waas Drug Store Inc, a Pharmacy, Community/Retail Pharmacy in Fernandina Beach, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104994342 active?
The current status of NPI 1104994342 in the NPPES registry is Active. The record was last updated on 2016-09-29.
What specialty is NPI 1104994342?
NPI 1104994342 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104994342?
You can verify NPI 1104994342 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104994342?
The primary practice address on file for NPI 1104994342 is 1551 S 14th St, Fernandina Beach, FL 32034-1930. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104994342 issued?
NPI 1104994342 was first issued (enumerated) on 2006-12-04. The NPPES record was last updated on 2016-09-29.
Practice Location Map
Waas Drug Store Inc is located at 1551 S 14th St, Fernandina Beach, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Waas Drug Store Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104994342. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | PH1804 | FL |