Organization Active NPI

Grand 7TH Pharmacy and Discount LLC

  • Community/Retail Pharmacy
  • Plantation, FL
National Provider Identifier
1093384562
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GRAND 7TH PHARMACY AND DISCOUNT LLC
Practice address
923 S State Road 7
Plantation, FL 33317-4501
Phone
(954) 794-7268
NPI assigned
Jun 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Tosin Julius
Title
Owner
Phone
(813) 410-0029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

923 S State Road 7
Plantation, FL 33317-4501

Mailing address

923 S State Road 7
Plantation, FL 33317-4501
Phone (954) 794-7268

Other identifiers 1

IdentifierTypeStateIssuer
121764400MedicaidFL

Other names 1

  • GRAND 7TH PHARMACY AND DISCOUNT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230215001377 FL DME Supplier - Pharmacy 3476925785 Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

3135 Grand Ave
Miami, FL 33133
Phone (305) 445-7533

12700 SW 122nd Ave
Ste 106
Miami, FL 33186

923 S State Road 7
Plantation, FL 33317
Phone (954) 794-7268

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1093384562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 S STATE ROAD 7",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333174501",
            "telephone_number": "954-794-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 S STATE ROAD 7",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333174501",
            "telephone_number": "954-794-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND 7TH PHARMACY AND DISCOUNT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "JULIUS",
        "authorized_official_first_name": "TOSIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-410-0029"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121764400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAND 7TH PHARMACY AND DISCOUNT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.