Palm Beach Pharma Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH28139 Issued in FL

Legal business name

PALM BEACH PHARMA CORP

Doing business as

Palm Beach Pharma Corp

Practice address

235 Peruvian Ave Ste 3
Palm Beach, FL 33480-4695

Phone

(561) 650-0236

Fax

(561) 650-0237

NPI assigned

Jul 21, 2014

Last updated

Jan 13, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ildiko SiposNPI 1700419330

Title

P/Ceo

Phone

(561) 650-0236

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Palm Beach Pharma Corp Doing business as

Locations

Networks

• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• HealthSun Health Plans Network

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ildiko Sipos

  • Pharmacist
  • Palm Beach, FL
  • NPI 1700419330
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1003223108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2134",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334802134",
            "telephone_number": "561-650-0236",
            "fax_number": "561-650-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PERUVIAN AVE STE 3",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334804695",
            "telephone_number": "561-650-0236",
            "fax_number": "561-650-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH PHARMA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "SIPOS",
        "authorized_official_first_name": "ILDIKO",
        "authorized_official_title_or_position": "P/CEO",
        "authorized_official_telephone_number": "561-650-0236"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH28139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012723900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Beach Pharma Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rhonda H Nasser, D.D.S., P.A.
• Breanna Nelson
• Nyco Chemist X Inc
• Jenna Oweida, CPNP
• Palm Beach Chiropractic PLLC
• Paradishs Inc. (Paradis HS Home Health Services)
• Dipti Patel, PHARMD
• Mipal Patel
• PB Treatment
• Kathryn Diane Peaper, APRN, FNP-BC

• Community/Retail Pharmacy in Palm Beach, FL
• Providers in Palm Beach, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.