Pines Discount Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PH24151 Issued in FL

Legal business name

PINES DISCOUNT PHARMACY INC

Doing business as

Aloe Drug Mart

Practice address

631 NW 100TH PL
Pembroke Pines, FL 33024-6163

Phone

(954) 437-4900

Fax

(954) 437-4504

NPI assigned

Mar 1, 2018

Organization subpart

Yes

Parent organization

PINES DISCOUNT PHARMACY INCAs reported in NPPES

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

Authorized official

Name

Adekunle AdimulaNPI 1841887759

Title

President

Phone

(954) 437-4900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ALOE DRUG MART Doing business as

Part of

Pines Discount Pharmacy Inc

Practitioners 1

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

• Adekunle Adimula, RPH.

  • Pharmacist
  • North Miami Beach, FL
  • NPI 1841887759
  NPD (past) Authorized official

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1265934723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 NW 100TH PL",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246163",
            "telephone_number": "954-437-4900",
            "fax_number": "954-437-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 NW 100TH PL",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246163",
            "telephone_number": "954-437-4900",
            "fax_number": "954-437-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINES DISCOUNT PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINES DISCOUNT PHARMACY INC",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "ADIMULA",
        "authorized_official_first_name": "ADEKUNLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-437-4900"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH24151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030963000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALOE DRUG MART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pines Chiromed Center, LLC (South Florida Spine and Rehab Centers)
• Pines Dental Associates Inc
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• Pines Dental Village Corp.
• Pines Diagnostic Testing Group Inc
• Pines Family Dental
• Pines Foot & Ankle Surgical Group, Inc.
• Pines Imaging Center LLC
• Pines Injury Center, Inc.
• Pines Lymphatic Center LLC

• Long Term Care Pharmacy in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Long Term Care Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.