Phytogenix RX

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

Legal business name

PHYTOGENIX RX

Practice address

4501 NW 31St Ave Ste 4
Oakland Park, FL 33309-3403

Phone

(754) 223-7701

NPI assigned

Mar 15, 2021

Organization subpart

Yes

Parent organization

PHYTOGENICS LLCAs reported in NPPES

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

Authorized official

Name

Gisele Pean, PHARMD

Title

Pic

Phone

(866) 749-8679

Specialties & licenses 3

Addresses

Part of

Phytogenix RX

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Phytogenics LLC

  • Community/Retail Pharmacy
  • Oakland Park, FL
  • NPI 1356508980
  NPPES parent name

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1003491689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 NW 31ST AVE STE 4",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333093403",
            "telephone_number": "754-223-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 NW 31ST AVE STE 4",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333093403",
            "telephone_number": "754-223-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYTOGENIX RX",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYTOGENICS LLC",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "PEAN",
        "authorized_official_first_name": "GISELE",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "866-749-8679",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addis R Phillips
• Gail C Phillips, PHARMACIST
• Phlebotek Solutions Corporation
• Physical Therapy Now Oakland Park LLC
• Phytogenics LLC
• Michael Norman Pierce, M.D
• Patrick Pierre Louis
• Edwine Pierre Mathurin, ARNP
• Jalisa Ciara Pierre-Louis, PHARM.D.
• Metuchela Pierre, CRT

• Mail Order Pharmacy in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Mail Order Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.