Pine Island Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH13774 Issued in FL

Legal business name

PINE ISLAND DRUGS INC

Practice address

8844 W State Road 84
Unit B
Davie, FL 33324-4455

Phone

(954) 424-3784

Fax

(954) 424-3412

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Sitora Kovazoda

Title

President

Phone

(954) 424-3784

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• NEIGHBORHOOD DRUGS OF DAVIE Doing business as

Locations

Networks

• HealthSun Health Plans Network
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1316098395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8844 W STATE ROAD 84",
            "address_2": "UNIT B",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "33324",
            "telephone_number": "954-424-3784",
            "fax_number": "954-424-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8844 W STATE ROAD 84",
            "address_2": "UNIT B",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244455",
            "telephone_number": "954-424-3784",
            "fax_number": "954-424-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE ISLAND DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "KOVAZODA",
        "authorized_official_first_name": "SITORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-424-3784"
    },
    "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": "PH13774",
            "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": "2009615",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103446400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEIGHBORHOOD DRUGS OF DAVIE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thatiana Pierre
• Vashinggie Pierre
• Daniela Pifferrer
• Luis Alberto Pina Gutierrez
• Pine Island Dental Inc
• Pinecrest PT- Davie L.L.C.
• Carmelo Pineiro Jr.
• Estefanie A Pinela
• Pines Home Health Care Services Inc
• Veridiana Pinheiro, APRN

• Community/Retail Pharmacy in Davie, FL
• Providers in Davie, 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 Oct 15, 2024; 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.