Active NPI
Las Olas Chemist
- Community/Retail Pharmacy
- Fort Lauderdale, FL
National Provider Identifier
1255410353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH19947
- Legal business name
- LAS OLAS CHEMIST
- Practice address
- 1211 East Las Olas Blvd
Ft. Lauderdale, FL 33301-2331 - Phone
- (954) 462-4166
- Fax
- (954) 462-4186
- NPI assigned
- Nov 2, 2006
- Last updated
- Nov 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Marc Leach, RPH
- Title
- President
- Phone
- (954) 462-4166
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH19947 | FL | Primary |
Addresses
Primary practice location
1211 East Las Olas Blvd
Ft. Lauderdale, FL 33301-2331
Mailing address
1211 East Las Olas Blvd
Ft. Lauderdale, FL 33301-2331
Phone (954) 462-4166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026748100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
1201 E Las Olas Blvd
Fort Lauderdale, FL 33301
1211 E Las Olas Blvd
Ft Lauderdale, FL 33301
Phone (954) 462-4166
Networks
- Freedom Health HMO Network
- HealthSun Health Plans Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731283200000",
"number": "1255410353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 EAST LAS OLAS BLVD",
"city": "FT. LAUDERDALE",
"state": "FL",
"postal_code": "333012331",
"telephone_number": "954-462-4166",
"fax_number": "954-462-4186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 EAST LAS OLAS BLVD",
"city": "FT. LAUDERDALE",
"state": "FL",
"postal_code": "333012331",
"telephone_number": "954-462-4166",
"fax_number": "954-462-4186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAS OLAS CHEMIST",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-02",
"last_updated": "2024-11-11",
"status": "A",
"authorized_official_last_name": "LEACH",
"authorized_official_first_name": "MARC",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-462-4166",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH19947",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "026748100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
- Joshua Michael Larned, M.D.
- Alissa Genevievre Laroche, DO
- Christelle Laroche
- Rachel Elizabeth Larochelle, ARNP
- Grant Larocque, CRNA
- Las Olas Dental Orthodontic and Implant Center
- Las Olas Dermatology Inc
- Las Olas Medical Management PA
- Las Olas Recovery (Pathway to Hope)
- Las Olas Recovery (Pathway to Hope)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.