OrganizationActive
Polk City Pharmacy Inc
NPI 1417040486 · Community/Retail Pharmacy · Polk City, FL
Provider details
- NPI number
- 1417040486
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jacqueline Futch, Owner Pharmacist(863) 984-9631
- License
- PH21515 (FL)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES 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
108 N Commonwealth Ave
Polk City, FL 33868-9506
Phone: (863) 984-3427
Fax: (863) 984-9631
Street-level locationGet directions
Mailing address
108 N Commonwealth Ave
Polk City, FL 33868-9506
Other names (DBA / former)
- Doing business as
- Medicine Shoppe
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.