Executive Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH23608 Issued in FL

Legal business name

EXECUTIVE PHARMACY LLC

Doing business as

Executive Pharmacy

Practice address

4300 N University Dr
Ste E-200
Sunrise, FL 33351-6249

Phone

(954) 368-0901

Fax

(800) 918-4152

NPI assigned

Oct 9, 2008

Organization subpart

No

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

Authorized official

Name

Leonard Arteaga, PHARMACY

Title

Mr.

Phone

(954) 368-0901

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Executive Pharmacy Doing business as

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1255582144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N UNIVERSITY DR",
            "address_2": "STE E-200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516249",
            "telephone_number": "954-368-0901",
            "fax_number": "800-918-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 N UNIVERSITY DR",
            "address_2": "STE E-200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516249",
            "telephone_number": "954-368-0901",
            "fax_number": "800-918-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "ARTEAGA",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "MR.",
        "authorized_official_telephone_number": "954-368-0901",
        "authorized_official_credential": "PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23608",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2142644",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Executive Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyad Shehadeh, D.D.S, P.a
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• Sabrina Alexandra Eyking
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• Community/Retail Pharmacy in Sunrise, FL
• Providers in Sunrise, 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 Sep 26, 2016; 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.