Active NPI
Pomp Pharmacy LLC
- Community/Retail Pharmacy
- Pompano Beach, FL
National Provider Identifier
1255435871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH29193
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2154087 | Other | PK | |
| 015679100 | Medicaid | FL |
Other names 2
- Benzer Pharmacy
- Pompano Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Pompano Beach, FL
- NPI 1245348309
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.