WCRX of Hollywood LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

PH24084 Issued in FL

Legal business name

WCRX OF HOLLYWOOD LLC

Practice address

210 S Federal Hwy Ste 317
Hollywood, FL 33020-6811

Phone

(850) 222-1963

Fax

(850) 224-9356

NPI assigned

Jul 11, 2013

Organization subpart

No

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

Authorized official

Name

Joy Emmanuel Inwang

Title

Authorized Official

Phone

(850) 222-1963

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• WCRx Pharmacy LLC Other name

Locations

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559520000000",
    "number": "1003257643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 SALEM CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323012809",
            "telephone_number": "850-222-1963",
            "fax_number": "850-224-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S FEDERAL HWY STE 317",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206811",
            "telephone_number": "850-222-1963",
            "fax_number": "850-224-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WCRX OF HOLLYWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2019-06-03",
        "status": "A",
        "authorized_official_last_name": "INWANG",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "EMMANUEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "850-222-1963"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Ambulatory Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "PH24084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000970500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WCRx Pharmacy LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Health Maintenance Organization in Hollywood, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.