Organization Active NPI

Rise N Shine Pharmacy Inc

  • Community/Retail Pharmacy
  • Pembroke Pines, FL
National Provider Identifier
1295215507
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RISE N SHINE PHARMACY INC
Doing business as
Pharmacia el Amanecer
Practice address
17913 NW 7 Street
Suite 104
Pembroke Pines, FL 33029
Phone
(954) 447-7784
Fax
(954) 447-7785
NPI assigned
Aug 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Authorized official

Name
Rachel E Novelli
Title
President
Phone
(954) 447-7784

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

17913 NW 7 Street
Suite 104
Pembroke Pines, FL 33029

Mailing address

17913 NW 7TH St Ste 104
Pembroke Pines, FL 33029-2811
Phone (954) 447-7751

Other identifiers 1

IdentifierTypeStateIssuer
000719400MedicaidFL

Other names 1

  • Pharmacia el Amanecer Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1295215507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17913 NW 7TH ST STE 104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292811",
            "telephone_number": "954-447-7751",
            "fax_number": "954-447-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17913 NW 7 STREET",
            "address_2": "SUITE 104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33029",
            "telephone_number": "954-447-7784",
            "fax_number": "954-447-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE N SHINE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "NOVELLI",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-447-7784"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000719400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacia el Amanecer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.