Active NPI
Xubex Pharmacy LLC
- Long Term Care Pharmacy
- Casselberry, FL
National Provider Identifier
1073863312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PH26324
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5711824 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Xubex Pharmacy LLC
National Provider Directory
National Provider DirectoryLocations
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.