Provider Demographics
NPI:1114010550
Name:CAREPOINT PHARMACY INC
Entity Type:Organization
Organization Name:CAREPOINT PHARMACY INC
Other - Org Name:CAREPOINT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EKAETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ISEMIN
Authorized Official - Suffix:
Authorized Official - Credentials:BS PHARM
Authorized Official - Phone:407-435-0857
Mailing Address - Street 1:1400 HAND AVE
Mailing Address - Street 2:STE O
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-8194
Mailing Address - Country:US
Mailing Address - Phone:386-671-9476
Mailing Address - Fax:386-671-9478
Practice Address - Street 1:1400 HAND AVE
Practice Address - Street 2:STE O
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-8194
Practice Address - Country:US
Practice Address - Phone:386-671-9476
Practice Address - Fax:386-671-9478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-30
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
FLPH221993336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2007635OtherPK
FL031760800Medicaid
FL031760800Medicaid