OrganizationActive
Lane Avenue Pharmacy Inc
NPI 1427233584 · Community/Retail Pharmacy · Jacksonville, FL
Lane Avenue Pharmacy Inc is a Community/Retail Pharmacy organization in Jacksonville, FL (NPI 1427233584).
Provider details
- NPI number
- 1427233584
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Felix Obasuyi, Owner / Pharmacist(904) 693-6633
- License
- PH23097 (FL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1233 Lane Ave S
Ste 9
Jacksonville, FL 32205-6284
Phone: (904) 693-6633
Fax: (904) 693-6684
Street-level locationGet directions
Mailing address
2595 Watermill Dr
Orange Park, FL 32073-1621
Other names (DBA / former)
- Doing business as
- Lane Avenue Pharmacy
Registry dates
- Enumerated
- 2008-01-08
- Last updated
- 2010-06-14
Frequently asked questions
- What is Lane Avenue Pharmacy Inc's NPI number?
- Lane Avenue Pharmacy Inc's National Provider Identifier (NPI) is 1427233584, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lane Avenue Pharmacy Inc?
- Lane Avenue Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Lane Avenue Pharmacy Inc located?
- Lane Avenue Pharmacy Inc's practice location on file with NPPES is 1233 Lane Ave S, Jacksonville, FL 32205-6284.
- What is Lane Avenue Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Lane Avenue Pharmacy Inc is (904) 693-6633.
- Who is the authorized official for Lane Avenue Pharmacy Inc?
- The authorized official listed on Lane Avenue Pharmacy Inc's NPPES record is Felix Obasuyi, Owner / Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lane Avenue Pharmacy Inc's NPI active?
- Yes — Lane Avenue Pharmacy Inc's NPI (1427233584) is active in the NPPES registry as of the last update on 2010-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.