Active NPI
Family Choice Pharmacy LLC
- Community/Retail Pharmacy
- West Palm Beach, FL
National Provider Identifier
1134534555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH 28152
- Legal business name
- FAMILY CHOICE PHARMACY LLC
- Practice address
- 1897 Palm Beach Lakes Blvd
Suite115
West Palm Beach, FL 33409-3507 - Phone
- (561) 822-3511
- Fax
- (561) 822-3702
- NPI assigned
- Jun 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Audrey Marie Robinson, PHARMD.
- Title
- Pharmacist/Owner
- Phone
- (561) 822-3511
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH 28152 | FL | Primary |
Addresses
Primary practice location
1897 Palm Beach Lakes Blvd
Suite115
West Palm Beach, FL 33409-3507
Mailing address
1897 Palm Beach Lakes Blvd
Suite115
West Palm Beach, FL 33409-3507
Phone (561) 822-3511
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH 28152 | Other | FL | STATE OF FLORIDA DEPT OF HEALTH DIVISON OF MEDICAL QUALITY ASSURANCE |
| 013103300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170818002422 | FL | Part B Supplier - Mass Immunization (Roster Biller Only) | 6608169644 | Practice locations: West Palm Beach, FL |
National Provider Directory
National Provider DirectoryLocations
1897 Palm Beach Lakes Blvd
Ste 115
West Palm Beach, FL 33409
Phone (561) 822-3511
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- West Palm Beach, FL
- NPI 1780079723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642636800000",
"number": "1134534555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1897 PALM BEACH LAKES BLVD",
"address_2": "SUITE115",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334093507",
"telephone_number": "561-822-3511",
"fax_number": "561-822-3702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1897 PALM BEACH LAKES BLVD",
"address_2": "SUITE115",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334093507",
"telephone_number": "561-822-3511",
"fax_number": "561-822-3702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CHOICE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-24",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "AUDREY",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PHARMACIST/OWNER",
"authorized_official_telephone_number": "561-822-3511",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PHARMD."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH 28152",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FLORIDA DEPT OF HEALTH DIVISON OF MEDICAL QUALITY ASSURANCE",
"identifier": "PH 28152",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "013103300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.