Organization Active NPI

AIDS Healthcare Foundation

  • Community/Retail Pharmacy
  • North Miami Beach, FL
National Provider Identifier
1003866930
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH20980 Issued in FL
Legal business name
AIDS HEALTHCARE FOUNDATION
Practice address
100 NW 170TH St
Ste 208
North Miami Beach, FL 33169-5513
Phone
(305) 758-1984
Fax
(305) 758-8714
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Scott Carruthers
Title
Sr.MGR/Chief Pharm. Officer
Phone
(323) 860-5200

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X PH20980 FL Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

100 NW 170TH St
Ste 208
North Miami Beach, FL 33169-5513

Mailing address

18421 S Main St
Gardena, CA 90248-4609
Phone (310) 999-6089

Other identifiers 2

IdentifierTypeStateIssuer
028323100MedicaidFL
2004226OtherPK

Other names 1

  • AHF PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20050525000558 FL Part B Supplier - Clinic/Group Practice 2668369109 Receives reassigned benefits from 75 practitioners
26 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Miami Beach, FL; Ft Lauderdale, FL; North Miami Beach, FL; Orlando, FL; Pensacola, FL; Safety Harbor, FL; St Petersburg, FL; Tampa, FL…
O20100930032266 FL DME Supplier - Pharmacy 2668369109 Practice locations: North Miami Beach, FL
O20171116001880 FL Part B Supplier - Mass Immunization (Roster Biller Only) 2668369109 14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Palm Beach, FL; Saint Petersburg, FL; Safety Harbor, FL; Pensacola, FL; Orlando, FL; North Miami Beach, FL; Miami Beach, FL; Miami, FL…
O20200505001157 FL Part B Supplier - Pharmacy 2668369109 15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pensacola, FL; West Palm Beach, FL; Saint Petersburg, FL; Orlando, FL; Oakland Park, FL; North Miami Beach, FL; Miami Beach, FL; Miami, FL…

Other NPIs on the same Medicare enrollment 41

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 41

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
AIDS Healthcare Foundation100 NW 170TH St, North Miami Beach, FL 33169-5510(305) 758-1984 Immunosuppressive Drugs|Nebulizer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|External Infusion Pumps and/or Supplies|Insulin Infusion Pumps and/or Supplies|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Dec 27, 2019

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1003866930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18421 S MAIN ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484609",
            "telephone_number": "310-999-6089",
            "fax_number": "833-261-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW 170TH ST",
            "address_2": "STE 208",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695513",
            "telephone_number": "305-758-1984",
            "fax_number": "305-758-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIDS HEALTHCARE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "CARRUTHERS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "SR.MGR/CHIEF PHARM. OFFICER",
        "authorized_official_telephone_number": "323-860-5200"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH20980",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028323100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2004226",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AHF PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AHF PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.