Organization Active NPI

South Ocean Pharmacy Inc

Doing business as South Ocean Pharmacy

  • Community/Retail Pharmacy
  • Palm Beach, FL
National Provider Identifier
1316294093
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH26275 Issued in FL
Legal business name
SOUTH OCEAN PHARMACY INC
Doing business as
South Ocean Pharmacy
Practice address
2875 S Ocean Blvd
Suite 103
Palm Beach, FL 33480-5590
Phone
(561) 721-4359
Fax
(561) 721-4369
NPI assigned
Aug 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Authorized official

Name
Mipal Patel
Title
Owner/Pharmacist
Phone
(973) 449-2887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH26275 FL Primary

Addresses

Primary practice location

2875 S Ocean Blvd
Suite 103
Palm Beach, FL 33480-5590

Mailing address

2875 S Ocean Blvd
Suite 103
Palm Beach, FL 33480-5590
Phone (561) 721-4359

Other identifiers 1

IdentifierTypeStateIssuer
2136401OtherPK

Other names 1

  • South Ocean Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2875 S Ocean Blvd
Ste 103
Palm Beach, FL 33480
Phone (561) 721-4359

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1316294093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 S OCEAN BLVD",
            "address_2": "SUITE 103",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334805590",
            "telephone_number": "561-721-4359",
            "fax_number": "561-721-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 S OCEAN BLVD",
            "address_2": "SUITE 103",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334805590",
            "telephone_number": "561-721-4359",
            "fax_number": "561-721-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH OCEAN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MIPAL",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "973-449-2887"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136401",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Ocean Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.