NPIMap

Organization Active NPI

Physician Family Pharmacy Corp

  • Clinic/Center
  • Greenacres, FL
National Provider Identifier
1063986248
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PHYSICIAN FAMILY PHARMACY CORP
Practice address
5869 Lake Worth Rd
Greenacres, FL 33463-3209
Phone
(561) 501-1874
NPI assigned
Jan 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Authorized official

Name
Angelita Nicolas
Title
Owner
Phone
(561) 501-1874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5869 Lake Worth Rd
Greenacres, FL 33463-3209

Mailing address

5869 Lake Worth Rd
Greenacres, FL 33463-3209
Phone (561) 501-1874

Other identifiers 1

IdentifierTypeStateIssuer
1235655069MedicaidFL

Other names 1

  • Physician Family Pharmacy Compound and Mini Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Physician Family Pharmacy Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548028800000",
    "number": "1063986248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5869 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633209",
            "telephone_number": "561-501-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5869 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633209",
            "telephone_number": "561-501-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN FAMILY PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-01-21",
        "status": "A",
        "authorized_official_last_name": "NICOLAS",
        "authorized_official_first_name": "ANGELITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-501-1874"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235655069",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physician Family Pharmacy Compound and Mini Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.