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Lane Avenue Pharmacy Inc

Community/Retail Pharmacy in Jacksonville, FL · enumerated 2008 · authorized official Felix Obasuyi, Owner / Pharmacist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1427233584

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Registry record

Entity type Organization (Type 2)
Legal business name Lane Avenue Pharmacy Inc
Other name <Unavail>
Practice address 1233 Lane Ave S, Ste 9, Jacksonville, FL, 32205
Phone (904) 693-6633
Fax (904) 693-6684
Enumeration date Jan 8, 2008
Last updated in NPPES Jun 14, 2010

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License PH23097 (FL) Primary

Authorized official

Name Felix Obasuyi
Title Owner / Pharmacist
Phone (904) 693-6633

Other identifiers

Identifier Type State Issuer
032420500 Medicaid FL -
1031412 Other - NCPDP PROVIDER IDENTIFICATION NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Lane Avenue Pharmacy Inc located?
The practice location on file with NPPES is in Jacksonville, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-06-14. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-06-14.