Lincoln Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH29825 Issued in FL

Legal business name

LINCOLN PHARMACY LLC

Practice address

21011 Johnson St
Suite# 126
Pembroke Pines, FL 33029-1913

Phone

(954) 534-9161

Fax

(800) 765-2524

NPI assigned

Apr 25, 2016

Last updated

Apr 25, 2016By 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. Ileana Soto, PHARMD

Title

Pharmacy Manager

Phone

(954) 534-9161

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1205281458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21011 JOHNSON ST",
            "address_2": "SUITE# 126",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291913",
            "telephone_number": "954-534-9161",
            "fax_number": "800-765-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21011 JOHNSON ST",
            "address_2": "SUITE# 126",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291913",
            "telephone_number": "954-534-9161",
            "fax_number": "800-765-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "ILEANA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "954-534-9161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH29825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Pembroke Pines, FL
• Providers in Pembroke Pines, 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 Apr 25, 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.