Organization Active NPI

Everglades Pharmacy LLC

  • Pharmacy
  • Sunrise, FL
National Provider Identifier
1215852900
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
EVERGLADES PHARMACY LLC
Practice address
10202 NW 47TH St
Sunrise, FL 33351-7980
Phone
(844) 799-1988
Fax
(844) 799-1988
NPI assigned
Aug 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Joshua Heiblum, PHARMD
Title
Pic
Phone
(305) 586-6302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

10202 NW 47TH St
Sunrise, FL 33351-7980

Mailing address

10202 NW 47TH St
Sunrise, FL 33351-7980
Phone (844) 799-1988

National Provider Directory

National Provider Directory

Locations

10202 NW 47th St
Sunrise, FL 33351

NPI Registry JSON

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1215852900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10202 NW 47TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517980",
            "telephone_number": "844-799-1988",
            "fax_number": "844-799-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10202 NW 47TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517980",
            "telephone_number": "844-799-1988",
            "fax_number": "844-799-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGLADES PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "HEIBLUM",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "305-586-6302",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.