Active NPI
Elite Care Pharmacy Corp
- Community/Retail Pharmacy
- Pembroke Pines, FL
National Provider Identifier
1033463542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- ELITE CARE PHARMACY CORP
- Practice address
- 19112 NW 23Rd CT
Pembroke Pines, FL 33029-5335 - Phone
- (954) 635-0397
- NPI assigned
- Nov 6, 2012
- 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
- Enrique Rodriguez
- Title
- President
- Phone
- (954) 635-0397
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
19112 NW 23Rd CT
Pembroke Pines, FL 33029-5335
Mailing address
19112 NW 23Rd CT
Pembroke Pines, FL 33029-5335
Phone (954) 635-0397
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352160000000",
"number": "1033463542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19112 NW 23RD CT",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330295335",
"telephone_number": "954-635-0397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19112 NW 23RD CT",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330295335",
"telephone_number": "954-635-0397"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE CARE PHARMACY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-06",
"last_updated": "2012-11-06",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "ENRIQUE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-635-0397"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.