Boca Ridge Enterprises

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BOCA RIDGE ENTERPRISES

Doing business as

sussex pharmacy

Practice address

22835 Van Dyke Ave
Warren, MI 48089-2356

Phone

(586) 757-6505

Fax

(586) 757-7785

NPI assigned

Feb 14, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Mervin Efrusy, RPH

Title

Chief RPH/Owner

Phone

(586) 757-6505

Specialties & licenses 1

Addresses

Other names 1

• sussex pharmacy Doing business as

Locations

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1043488869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22835 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892356",
            "telephone_number": "586-757-6505",
            "fax_number": "586-757-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22835 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892356",
            "telephone_number": "586-757-6505",
            "fax_number": "586-757-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA RIDGE ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "EFRUSY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MERVIN",
        "authorized_official_title_or_position": "CHIEF RPH/OWNER",
        "authorized_official_telephone_number": "586-757-6505",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "sussex pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth A Blomenberg, PA-C
• William S Bloom, DDS
• Dhurata Blunden, NP
• Taylor M Bly, MS, CCC-SLP
• India Bobbitt
• John C Bochenek, D.O.
• Jenica Marie Bock
• Shannon Boczkowski
• Kathy J Boehm, P.T.
• Elizabeth Boes, D.O.

• Durable Medical Equipment & Medical Supplies in Warren, MI
• Providers in Warren, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.