Cubane LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

CUBANE LLC

Practice address

8170 Okeechobee Blvd Ste 4
West Palm Beach, FL 33411-2159

Phone

(888) 862-2772

NPI assigned

Feb 12, 2024

Organization subpart

No

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

Authorized official

Name

Hayden Collier, PHARMDNPI 1255784989

Title

Pharmacist in Charge

Phone

(888) 862-2772

Specialties & licenses 1

Addresses

Other names 1

• Sourcerx Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hayden Wade Collier, PHARM D

  • Pharmacist
  • Loxahatchee, FL
  • NPI 1255784989
  NPD Authorized official

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1033973789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 OKEECHOBEE BLVD STE 4",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112159",
            "telephone_number": "888-862-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 OKEECHOBEE BLVD STE 4",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112159",
            "telephone_number": "888-862-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUBANE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "HAYDEN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "888-862-2772",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sourcerx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Onix Cruz
• Roxana Cruz
• Crystal Clear Mobile Phlebotomy,LLC
• Laurent Cuba Medina, RBT 24-355706
• Darling Cuba
• Lely Yulieth Cubides Calderon
• Robert Louis Cucin, M.D.
• Nathali Cuellar
• Stephanie Cuellar, O.D.
• Rosa M Cuello-Suarez, MD

• Compounding Pharmacy in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Compounding Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.