Diacarerx Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH22207 Issued in FL

Legal business name

DIACARERX INC

Doing business as

Diacarerx Inc

Practice address

11 S Dixie Hwy
Lake Worth, FL 33460-3727

Phone

(800) 977-7698

Fax

(888) 886-4995

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Robert Krebs

Title

President

Phone

(800) 920-0411

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• DIACARERX INC Doing business as

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1053322693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 S DIXIE HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334603727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 S DIXIE HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334603727",
            "telephone_number": "800-977-7698",
            "fax_number": "888-886-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIACARERX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "KREBS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-920-0411"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH22207",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1019923",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIACARERX INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.