Belle Glade Drugs LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH25925 Issued in FL

Legal business name

BELLE GLADE DRUGS LLC

Practice address

364 S Main St
Belle Glade, FL 33430-3428

Phone

(561) 996-0228

NPI assigned

Mar 22, 2012

Organization subpart

No

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

Authorized official

Name

Haitham Kaki

Title

Owner

Phone

(561) 996-0228

Specialties & licenses 2

Addresses

Other names 1

• K&M DRUGS Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners 1

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

• Kasem Kaki

  • Pharmacist
  • Belle Glade, FL
  • NPI 1548863152
  NPD (past)

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1083989115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 S MAIN ST",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334303428",
            "telephone_number": "561-996-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 S MAIN ST",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334303428",
            "telephone_number": "561-996-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLE GLADE DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "KAKI",
        "authorized_official_first_name": "HAITHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-996-0228"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH25925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K&M DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Johanna Sammy Joseph Belizaire
• Josette Bell-Smith
• Belle Glade Dental Group Inc
• Belle Glade Dialysis Center LLC
• Belle Glade Discount Pharmacy
• Belle Glade Emergency Physicians LLC
• Diana Denise Benitez
• Johnica M Bennett, DNP, CNM, ARNP
• Delgado Francisco Benoza, PHYSICAL THERAPIST
• Michael Robert Bereisha, MD

• All providers in Belle Glade, FL
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.