Goodlife Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH24484 Issued in FL

Legal business name

GOODLIFE PHARMACY INC

Doing business as

Goodlife Pharmacy

Practice address

8903 Glades Rd Ste G13
Boca Raton, FL 33434-4091

Phone

(561) 999-8855

Fax

(888) 688-6310

NPI assigned

Mar 2, 2010

Organization subpart

No

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

Authorized official

Name

Eduardo Gil

Title

President

Phone

(561) 999-8855

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Goodlife Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1083937395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8903 GLADES RD STE G13",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344091",
            "telephone_number": "561-999-8855",
            "fax_number": "888-688-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8903 GLADES RD STE G13",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344091",
            "telephone_number": "561-999-8855",
            "fax_number": "888-688-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLIFE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "GIL",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-999-8855"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "NP000002",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123482",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0091833000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodlife Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Good Health Orbit Inc
• Good Living Habits, LLC
• Heather Kristine Good
• Jeffrey M Good, MD
• Jessica K Goodfellow, PT
• Goodlife Pharmacy Inc
• Alexsey Goodman
• Brian Goodman
• Michael Dean Goodman, PH.D., MINISTER
• Revital Goodman, LCSW

• Community/Retail Pharmacy in Boca Raton, FL
• Providers in Boca Raton, 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 Jan 18, 2017; 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.