Organization Active NPI

Physician Family Pharmacy

  • Community/Retail Pharmacy
  • Greenacres, FL
National Provider Identifier
1235655069
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PHYSICIAN FAMILY PHARMACY
Practice address
5869 Lake Worth Rd
Greenacres, FL 33463-3209
Phone
(561) 501-1804
NPI assigned
Aug 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Angelita Nicolas
Title
President
Phone
(561) 501-1804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X FL Primary

Addresses

Primary practice location

5869 Lake Worth Rd
Greenacres, FL 33463-3209

Mailing address

5869 Lake Worth Rd
Greenacres, FL 33463-3209
Phone (561) 501-1804

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1235655069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5869 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633209",
            "telephone_number": "561-501-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5869 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633209",
            "telephone_number": "561-501-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN FAMILY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "NICOLAS",
        "authorized_official_first_name": "ANGELITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-501-1804"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.