Organization Active NPI

Xubex Pharmacy LLC

  • Long Term Care Pharmacy
  • Casselberry, FL
National Provider Identifier
1073863312
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PH26324 Issued in FL
Legal business name
XUBEX PHARMACY LLC
Doing business as
Xubex Pharmacy LLC
Practice address
500 State Road 436 Ste 2064
Casselberry, FL 32707-5392
Phone
(407) 378-2309
Fax
(866) 495-3304
NPI assigned
Sep 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Mohammad Hariri
Title
Ceo/President
Phone
(908) 331-2030

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X PH26324 FL Primary
Mail Order Pharmacy 3336M0002X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

500 State Road 436 Ste 2064
Casselberry, FL 32707-5392

Mailing address

500 Sr 436 Ste 2064
Casselberry, FL 32707-5392
Phone (407) 378-2309

Other identifiers 1

IdentifierTypeStateIssuer
5711824OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Xubex Pharmacy LLC Doing business as

National Provider Directory

National Provider Directory

Locations

500 State Road 436
Ste 2064
Casselberry, FL 32707
Phone (407) 378-2309

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1073863312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SR 436 STE 2064",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075392",
            "telephone_number": "407-378-2309",
            "fax_number": "866-495-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 STATE ROAD 436 STE 2064",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075392",
            "telephone_number": "407-378-2309",
            "fax_number": "866-495-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XUBEX PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "HARIRI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "908-331-2030"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH26324",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5711824",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Xubex Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.