Guardian Pharmacy of Southeast Florida, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH22044 Issued in FL

Legal business name

GUARDIAN PHARMACY OF SOUTHEAST FLORIDA, LLC

Practice address

2301 NW 33Rd CT
Suite 110
Pompano Beach, FL 33069-1000

Phone

(954) 601-2455

Fax

(954) 601-2161

NPI assigned

Apr 18, 2008

Last updated

Apr 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David K Morris

Title

Cfo

Phone

(404) 810-0089

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1255505418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 PEACHTREE ST NW",
            "address_2": "SUITE 310 SOUTH TOWER",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092307",
            "telephone_number": "404-810-0089",
            "fax_number": "404-810-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 NW 33RD CT",
            "address_2": "SUITE 110",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330691000",
            "telephone_number": "954-601-2455",
            "fax_number": "954-601-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN PHARMACY OF SOUTHEAST FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "404-810-0089"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH22044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Walter Gruber I, LMHC, CAP
• Lisa Frances Guajardo, LM
• Sofia Eva Guardado, PT
• Guardian Pharmacy of Pompano Beach (Priority Pharmacy Services)
• Guardian Pharmacy of Pompano Beach, LLC (Priority Pharmacy Services)
• Russell Anthony Guardino, DPM
• Jessica Guedes
• Nilda Guerra
• Monica Guerrero
• Jean Willem Guerrier Jr., FNP

• Community/Retail Pharmacy in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.