Active NPI
Pathema RX, LLC
- Pharmacy
- Lauderhill, FL
National Provider Identifier
1013480177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- PATHEMA RX, LLC
- Practice address
- 4300 N University Dr Ste C101
Lauderhill, FL 33351-6243 - Phone
- (754) 702-7168
- NPI assigned
- Jan 10, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Christopher T Eaves
- Title
- President
- Phone
- (754) 702-7168
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
4300 N University Dr Ste C101
Lauderhill, FL 33351-6243
Mailing address
4300 N University Dr Ste C101
Lauderhill, FL 33351-6243
Phone (754) 200-9767
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638316800000",
"number": "1013480177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 N UNIVERSITY DR STE C101",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333516243",
"telephone_number": "754-200-9767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 N UNIVERSITY DR STE C101",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333516243",
"telephone_number": "754-702-7168"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHEMA RX, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-10",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A",
"authorized_official_last_name": "EAVES",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "754-702-7168",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lauderhill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.