Your Druggist Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PH8106 Issued in FL

Legal business name

YOUR DRUGGIST INC

Practice address

8091 W Sample Rd
Coral Springs, FL 33065-4713

Phone

(954) 753-2090

Fax

(954) 341-9315

NPI assigned

Oct 31, 2006

Organization subpart

No

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

Authorized official

Name

Stanley Dyen

Title

President

Phone

(954) 753-2090

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1316024284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8091 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8091 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654713",
            "telephone_number": "954-753-2090",
            "fax_number": "954-341-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR DRUGGIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "DYEN",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-753-2090"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "FL",
            "license": "PH8106",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104979800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104979801",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1045411",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonya Yordanova
• Adenike Young
• Ann-Marie Young, APRN
• Melissa Young
• Brittany Andrea Youngblood, APRN
• Your Healing Heart CCC LLC
• Maikol Zabalo Oliva
• Bruce M Zafran, MD
• Michael Preston Zahalsky, M.D., P.A.
• Richard Edmund Zalewski II

• Compounding Pharmacy in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Compounding Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.