OrganizationActive
Florida Dept of Corrections
NPI 1134005796 · Community/Retail Pharmacy · Lake Butler, FL
Provider details
- NPI number
- 1134005796
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Florida Dept of Corrections
- Organization subpart
- Yes
- Authorized official
- Renea Marcano, Bureau Chief of Pharmaceutical Serv(850) 717-3287
Specialties & taxonomies
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
- Institutional Pharmacy3336I0012X
Suppliers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7765 S. Cr 231 Reception and Medical Center
Lake Butler, FL 32054
Phone: (386) 496-7241
Approximate (ZIP-level) locationGet directions
Mailing address
501 S. Calhoun Street Florida Dept of Corrections
Tallahassee, FL 32399
Other names (DBA / former)
- Other name
- Reception and Medical Center, Lake Butler, Fl
Registry dates
- Enumerated
- 2025-08-11
- Last updated
- 2025-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.