Organization Active NPI

Pomp Pharmacy LLC

  • Community/Retail Pharmacy
  • Pompano Beach, FL
National Provider Identifier
1255435871
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH29193 Issued in FL
Legal business name
POMP PHARMACY LLC
Practice address
60 NE 1St St
Pompano Beach, FL 33060-6602
Phone
(954) 943-3111
Fax
(954) 782-6685
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Alpesh Patel
Title
Owner
Phone
(813) 304-2221

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WD0400X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH29193 FL Primary

Addresses

Primary practice location

60 NE 1St St
Pompano Beach, FL 33060-6602

Mailing address

60 NE 1St Street
Pompano Beach, FL 33060
Phone (954) 943-3111

Other identifiers 2

IdentifierTypeStateIssuer
2154087OtherPK
015679100MedicaidFL

Other names 2

  • Benzer Pharmacy Doing business as
  • Pompano Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

60 NE 1st St
Pompano Beach, FL 33060
Phone (954) 943-3111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1255435871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 NE 1ST STREET",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33060",
            "telephone_number": "954-943-3111",
            "fax_number": "954-782-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 NE 1ST ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606602",
            "telephone_number": "954-943-3111",
            "fax_number": "954-782-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMP PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ALPESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-304-2221"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH29193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154087",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015679100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benzer Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pompano Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.