Carl Robert Black, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS68068 Issued in FL

Practice address

4901 NW 17TH Way Ste 302
Fort Lauderdale, FL 33309-3772

Phone

(888) 536-9963

NPI assigned

Jun 2, 2025

Last updated

Jun 2, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Urgentmedrx, LLC

  • Specialty Pharmacy
  • Fort Lauderdale, FL
  • NPI 1508332503
  NPD

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1235022849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 NW 17TH WAY STE 302",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 NW 17TH WAY STE 302",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093772",
            "telephone_number": "888-536-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "CARL",
        "middle_name": "ROBERT",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS68068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fahima Hossain Bithy
• Jennifer Naomi Biton, LMHC
• BJ's Wholesale Club Inc.
• BJF Enterprises Inc
• Black Bag Corporation (Black Bag Medical Supply)
• Carol Ann Black, LMT
• Connor Black, DO
• Carolyn Blackwood Roberts
• Niccole L Blade, CNA
• Michelle Lee Blair, ARNP

• Pharmacist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.