Goodlife Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH23079 Issued in FL

Legal business name

GOODLIFE PHARMACY INC

Doing business as

Goodlife Pharmacy Inc

Practice address

104 NE 2ND St
Boca Raton, FL 33432-3908

Phone

(561) 999-8855

Fax

(561) 948-0860

NPI assigned

Nov 29, 2007

Last updated

May 14, 2012By the provider in NPPES

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 1

Addresses

Other identifiers 1

Other names 1

• GOODLIFE PHARMACY INC Doing business as

Locations

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1144402421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8903 GLADES RD",
            "address_2": "STE G13",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344074",
            "telephone_number": "561-999-8855",
            "fax_number": "561-999-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 NE 2ND ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323908",
            "telephone_number": "561-999-8855",
            "fax_number": "561-948-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLIFE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2012-05-14",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1030458",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOODLIFE PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Good Living Habits, LLC (Actify Physiotherapy)
• Heather Kristine Good
• Jeffrey M Good, MD
• Jessica K Goodfellow, PT
• Goodlife Pharmacy Inc (Goodlife Pharmacy)
• Alexsey Goodman
• Brian Goodman
• Michael Dean Goodman, PH.D., MINISTER
• Revital Goodman, LCSW
• Rhonda Lynn Goodman, PHD, ARNP, FNP-BC

• 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 May 14, 2012; 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.