Organization Active NPI

PBR Invst Corp

  • Community/Retail Pharmacy
  • West Palm Beach, FL
National Provider Identifier
1184645152
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH21811 Issued in FL
Legal business name
PBR INVST CORP
Practice address
8409 N Military TRL
Ste 125
West Palm Beach, FL 33410-6316
Phone
(561) 775-6430
Fax
(561) 625-2498
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Glenn Stephanos
Title
President
Phone
(561) 296-9200

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH21811 FL Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

8409 N Military TRL
Ste 125
West Palm Beach, FL 33410-6316

Mailing address

8409 N Military TRL
Ste 125
West Palm Beach, FL 33410-6316
Phone (561) 775-6430

Other identifiers 1

IdentifierTypeStateIssuer
2006466OtherPK

Other names 1

  • PALM BEACH PHARMACEUTICALS Doing business as

National Provider Directory

National Provider Directory

Locations

8409 N Military Trl
Ste 125
West Palm Beach, FL 33410
Phone (561) 775-6430

Practitioners & affiliated clinicians

Practitioners 1

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1184645152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8409 N MILITARY TRL",
            "address_2": "STE 125",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106316",
            "telephone_number": "561-775-6430",
            "fax_number": "561-625-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8409 N MILITARY TRL",
            "address_2": "STE 125",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106316",
            "telephone_number": "561-775-6430",
            "fax_number": "561-625-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBR INVST CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "STEPHANOS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-296-9200"
    },
    "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": "PH21811",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2006466",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALM BEACH PHARMACEUTICALS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 13, 2016; 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.