Pbag, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PBAG, LLC

Practice address

1905 Clintmoore Road
Boca Raton, FL 33496

Phone

(561) 544-5501

NPI assigned

Mar 30, 2012

Last updated

Mar 30, 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

Dr. Rafael Foss

Title

Director

Phone

(786) 370-1111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1194091470",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PO BOX 6455",
            "city": "WEST PALM BEACH",
            "state": "FLORIDA",
            "postal_code": "33405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CLINTMOORE ROAD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33496",
            "telephone_number": "561-544-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBAG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "FOSS",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-370-1111",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pbism Premier, Inc.
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• PCP 1St
• Pdi Pharmacy Services, Inc.

• Specialist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.