Organization Active NPI

Aghapy Investments LLC

  • Community/Retail Pharmacy
  • Port Saint Lucie, FL
National Provider Identifier
1154623726
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH25067 Issued in FL
Legal business name
AGHAPY INVESTMENTS LLC
Practice address
1701 SE Tiffany Ave Ste 103
Port Saint Lucie, FL 34952-7576
Phone
(772) 337-1200
Fax
(772) 337-1204
NPI assigned
Dec 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Marian Youssef
Title
Owner
Phone
(772) 337-1200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH25067 FL Primary

Addresses

Primary practice location

1701 SE Tiffany Ave Ste 103
Port Saint Lucie, FL 34952-7576

Mailing address

1701 SE Tiffany Ave
Ste # 103
Port Saint Lucie, FL 34952-7576
Phone (772) 337-1200

Other identifiers 2

IdentifierTypeStateIssuer
003192600MedicaidFL
2127794OtherPK

Other names 1

  • St. Lucie Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1154623726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SE TIFFANY AVE",
            "address_2": "STE # 103",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527576",
            "telephone_number": "772-337-1200",
            "fax_number": "772-337-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SE TIFFANY AVE STE 103",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527576",
            "telephone_number": "772-337-1200",
            "fax_number": "772-337-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGHAPY INVESTMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-337-1200"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003192600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127794",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Lucie Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.