Organization Active NPI

Herbmor Compounding Pharmacy

  • Pharmacist
  • Pembroke Pines, FL
National Provider Identifier
1043365083
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH0016857 Issued in FL
Legal business name
HERBMOR COMPOUNDING PHARMACY
Practice address
9111 Pembroke Rd
Pembroke Pines, FL 33025-1638
Phone
(954) 447-1823
Fax
(954) 447-1826
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Oyebode Oladipo Oyetunji, RPHNPI 1144375197
Title
Pharmacy Manager
Phone
(954) 447-1823

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PH0016857 FL Primary

Addresses

Primary practice location

9111 Pembroke Rd
Pembroke Pines, FL 33025-1638

Mailing address

9111 Pembroke Rd
Pembroke Pines, FL 33025-1638
Phone (954) 447-1823

Other identifiers 1

IdentifierTypeStateIssuer
PH0016857OtherFLPHARMACY LICENSE #

National Provider Directory

National Provider Directory

Locations

9111 Pembroke Rd
Pembroke Pines, FL 33025
Phone (954) 443-6200

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1043365083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9111 PEMBROKE RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330251638",
            "telephone_number": "954-447-1823",
            "fax_number": "954-447-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9111 PEMBROKE RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330251638",
            "telephone_number": "954-447-1823",
            "fax_number": "954-447-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBMOR COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "OYETUNJI",
        "authorized_official_first_name": "OYEBODE",
        "authorized_official_middle_name": "OLADIPO",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "954-447-1823",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PH0016857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE #",
            "identifier": "PH0016857",
            "state": "FL"
        }
    ],
    "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 Mar 7, 2023; 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.