Organization Active NPI

Prakruti LLC

Doing business as KPB Pharmacy

  • Community/Retail Pharmacy
  • Hallandale Beach, FL
National Provider Identifier
1134542020
Registry record updated Nov 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH29452 Issued in FL
Legal business name
PRAKRUTI LLC
Doing business as
KPB Pharmacy
Ocean Family Pharmacy
Practice address
1801 S Ocean Dr Ste C
Hallandale Beach, FL 33009-4923
Phone
(561) 409-4287
Fax
(844) 404-9924
NPI assigned
Jan 28, 2014
Last updated
Nov 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2025

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

Authorized official

Name
Aleksandr Kaplan
Title
Member
Phone
(561) 409-4287

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PH29452 FL Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

1801 S Ocean Dr Ste C
Hallandale Beach, FL 33009-4923

Mailing address

1801 S Ocean Dr Ste C
Hallandale Beach, FL 33009-4923
Phone (561) 409-4287

Other identifiers 2

IdentifierTypeStateIssuer
016422100MedicaidFL
2154555OtherPK

Other names 2

  • KPB PHARMACY Doing business as
  • Ocean Family Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161025002009 FL DME Supplier - Pharmacy 1759671530 Practice locations: Hallandale Beach, FL
O20240624001231 FL Part B Supplier - Pharmacy 1759671530 Practice locations: Hallandale Beach, FL

National Provider Directory

National Provider Directory

Locations

19585 State Road 7
Boca Raton, FL 33498
Phone (561) 409-4287

Networks

  • 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 Máximo (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)…
  • 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)

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763251200000",
    "number": "1134542020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S OCEAN DR STE C",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094923",
            "telephone_number": "561-409-4287",
            "fax_number": "844-404-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S OCEAN DR STE C",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094923",
            "telephone_number": "561-409-4287",
            "fax_number": "844-404-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAKRUTI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2025-11-16",
        "certification_date": "2025-11-16",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "ALEKSANDR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "561-409-4287"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH29452",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016422100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154555",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KPB PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KPB PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ocean Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2025; 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.