Organization Active NPI

Elite Care Pharmacy Corp

  • Community/Retail Pharmacy
  • Pembroke Pines, FL
National Provider Identifier
1033463542
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Nov 6, 2012

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.