Plantation Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH26171 Issued in FL

Legal business name

PLANTATION PHARMACY INC

Practice address

700 SW 78TH Ave Ste 101
Plantation, FL 33324-3313

Phone

(954) 473-8441

Fax

(954) 473-8443

NPI assigned

May 31, 2012

Organization subpart

No

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

Authorized official

Name

Justin DohertyNPI 1336425586

Title

President/Pharmacist

Phone

(954) 829-5465

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Plantation Pharmacy at Midtown 24 Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin L Doherty, PHARM D

  • Pharmacist
  • Plantation, FL
  • NPI 1336425586
  NPD (past) Authorized official

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1073874525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SW 78TH AVE",
            "address_2": "SUITE 101",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243298",
            "telephone_number": "954-473-8441",
            "fax_number": "954-473-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SW 78TH AVE STE 101",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243313",
            "telephone_number": "954-473-8441",
            "fax_number": "954-473-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANTATION PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "DOHERTY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "954-829-5465"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5710644",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Plantation Pharmacy at Midtown 24",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Plantation Palms Dental P.a.
• Plantation Park Dental Associates, P.a.
• Plantation Pavilion OB-GYN
• Plantation Pediatric Neurosurgery LLC
• Plantation Pediatrics PA
• Plantation Physical Medicine PA
• Plantation Primary Care Physicians, Inc
• Plantation Rehabilitation Care
• Plantation RX Pharmacy Inc
• Plantation Senior Living Inc

• Community/Retail Pharmacy in Plantation, FL
• Providers in Plantation, 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 Feb 1, 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.