NORTHEAST FLORIDA STATE HOSPITAL PHARMACY
NPI 1629227442
Pharmacy - Long Term Care Pharmacy in Macclenny, FL

Q: What is Department Of Children & Familes's NPI number?

The NPI number for Department Of Children & Familes is 1629227442. It was assigned to this organization in the NPPES registry on September 17, 2008. The provider is doing business as Northeast Florida State Hospital Pharmacy.

Q: What is Department Of Children & Familes's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Active since September 17, 2008

7487 S STATE ROAD 121, MACCLENNY, FL 32063(904) 259-6211(904) 259-6709 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 30, 2019, Jan 18, 2019, Feb 23, 2017 (3 updates tracked since 2017).

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About Northeast Florida State Hospital Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST FLORIDA STATE HOSPITAL PHARMACY (NPI 1629227442) is a healthcare organization registered as a long term care pharmacy in Macclenny, Florida and active in the NPI registry since September 2008. The organization lists Tan H Pham, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1629227442

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameDEPARTMENT OF CHILDREN & FAMILES

Location Address7487 S STATE ROAD 121Macclenny, FL 32063-5451

Mailing Address7487 S State Road 121Macclenny, FL 32063-5451 · (904) 259-6211 · Fax (904) 259-6709

Phone(904) 259-6211

Fax(904) 259-6709

Organization SubpartNo

Authorized OfficialTan H PhamPharmacy Manager · (904) 330-2011

Enumeration DateSeptember 17, 2008

Last NPPES UpdateJuly 30, 20193 updates tracked since enumeration

✔ NPI 1629227442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Also ListedPharmacyTaxonomy 333600000X

7487 S STATE ROAD 121, Macclenny, FL 32063

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Other Names 1

Doing Business AsNortheast Florida State Hospital Pharmacy

Other Identifiers 1

Medicaid026002900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Kansas City and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LY C LAM MD

Family Medicine

7487 S STATE ROAD 121
MACCLENNY, FL 32063

Baker County (904) 396-5682

DR. THU D NGUYEN MD

Family Medicine

7487 S STATE ROAD 121
MACCLENNY, FL 32063

Baker County (904) 396-5682

DR. DONALD O HALL DO

Family Medicine

7487 S STATE ROAD 121, NORTHEAST FLORIDA STATE HOSPITAL
MACCLENNY, FL 32063

Baker County (904) 396-5682

MR. RANDLY LYSANDER WOODS MD

Psychiatry & Neurology (Psychiatry)

7487 S STATE ROAD 121
MACCLENNY, FL 32063

Baker County (904) 259-6211

MR. SERGIO M. ARCEY M.D.

Psychiatry & Neurology (Psychiatry)

7487 S STATE ROAD 121
MACCLENNY, FL 32063

Baker County (904) 259-6211

DR. JUDITH HALLSTROM M.D.

Psychiatry & Neurology (Psychiatry)

7487 S STATE ROAD 121
MACCLENNY, FL 32063

Baker County (904) 259-6211

MR. TRONG TAN TRAN MD

Psychiatry & Neurology (Psychiatry)

7487 S STATE ROAD 121
MACCLENNY, FL 32063

Baker County (904) 259-6211

MR. JAMES TIMOTHY DAMIANI M.D.

Psychiatry & Neurology (Psychiatry)

7487 S STATE ROAD 121
MACCLENNY, FL 32063

Baker County (990) 425-9621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Department Of Children & Familes's NPI number?

The NPI number for Department Of Children & Familes is 1629227442. It was assigned to this organization in the NPPES registry on September 17, 2008. The provider is doing business as Northeast Florida State Hospital Pharmacy.

Where is Department Of Children & Familes located?

Department Of Children & Familes is located at 7487 S State Road 121, Macclenny, FL 32063. The listed phone number is (904) 259-6211.

What is Department Of Children & Familes's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Department Of Children & Familes accept?

Health plans from Anthem Blue Cross and Blue Shield, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Kansas City, BlueCross BlueShield of Tennessee and HealthPartners and 10 other insurers list Department Of Children & Familes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Department Of Children & Familes was last updated on July 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.