Organization Active NPI

Patients Choice Pharmacy LLC

Doing business as Patient's Choice Pharmacy

  • Community/Retail Pharmacy
  • Davie, FL
National Provider Identifier
1174808125
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH25631 Issued in FL
Legal business name
PATIENTS CHOICE PHARMACY LLC
Doing business as
Patient's Choice Pharmacy
Practice address
4801 S University Dr Ste 105
Davie, FL 33328-3835
Phone
(954) 622-2222
Fax
(954) 622-2223
NPI assigned
Oct 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Justin Brownstein, PHARMDNPI 1841807757
Title
Owner, Pic
Phone
(954) 661-2488

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH25631 FL Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

4801 S University Dr Ste 105
Davie, FL 33328-3835

Mailing address

4801 S University Dr Ste 105
Davie, FL 33328-3835
Phone (954) 622-2222

Other identifiers 2

IdentifierTypeStateIssuer
2132633OtherPK
005449200MedicaidFL

Other names 1

  • Patient's Choice 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
O20190916002581 FL Part B Supplier - Pharmacy 8628307725 Practice locations: Davie, FL
O20201021000879 FL DME Supplier - Pharmacy 8628307725 Practice locations: Davie, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Patients Choice Pharmacy LLC4801 S University Dr, Davie, FL 33328-3835(954) 622-2222 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since May 15, 2018

National Provider Directory

National Provider Directory

Locations

4801 S University Dr
Ste 105
Davie, FL 33328
Phone (954) 622-2222

Networks

  • 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)
  • 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 Maximo (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

Practitioners & affiliated clinicians

Practitioners 2

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": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1174808125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S UNIVERSITY DR STE 105",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283835",
            "telephone_number": "954-622-2222",
            "fax_number": "954-622-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S UNIVERSITY DR STE 105",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283835",
            "telephone_number": "954-622-2222",
            "fax_number": "954-622-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENTS CHOICE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "BROWNSTEIN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER, PIC",
        "authorized_official_telephone_number": "954-661-2488",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25631",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132633",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005449200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patient's Choice Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Patient's Choice Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.