Balancemed LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH 26213 Issued in FL

Legal business name

BALANCEMED LLC

Practice address

13460 SW 10TH St
Pembroke Pines, FL 33027-1833

Phone

(954) 391-7788

NPI assigned

Oct 5, 2012

Organization subpart

No

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

Authorized official

Name

Robert Stevens

Title

President

Phone

(954) 383-0505

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mug & Mortar Doing business as

Locations

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1073865614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N LATITUDE CIR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334838060",
            "telephone_number": "954-383-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13460 SW 10TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271833",
            "telephone_number": "954-391-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCEMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-383-0505"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH 26213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137246",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mug & Mortar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Denise Baker, PHARMD
• Christine Young Baker
• Jasmine S Baker
• Jaime Alejandro Balaguer Jr., O.D.
• Balance and Blossom Nutrition LLC
• Jordan Baldasare, AU.D.
• Baldev Singh, MD,PA
• Angelo Alan Baldonado, COTA/L
• Leidys Stefanye Ballestas Ruiz, SA-
• Zoraida Ballestas

• Community/Retail Pharmacy in Pembroke Pines, FL
• Providers in Pembroke Pines, 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 Dec 22, 2015; 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.