Active NPI
My Community Pharmacy LLC
- Community/Retail Pharmacy
- Wellington, FL
National Provider Identifier
1336372168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MY COMMUNITY PHARMACY LLC
- Practice address
- 2615 State Road 7
Suite B530
Wellington, FL 33414 - Phone
- (561) 753-6768
- Fax
- (561) 753-6763
- NPI assigned
- Aug 27, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Meroen Rabieifar, PHARM D
- Title
- Vice President/Pharmacist
- Phone
- (561) 876-4043
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH24114 | FL | |
| Community/Retail Pharmacy | 3336C0003X | FL | Primary |
Addresses
Primary practice location
2615 State Road 7
Suite B530
Wellington, FL 33414
Mailing address
2615 State Road 7
Suite B530
Wellington, FL 33414
Phone (561) 753-6768
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003711000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNetworks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Wellington, FL
- NPI 1306332333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432684800000",
"number": "1336372168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2615 STATE ROAD 7",
"address_2": "SUITE B530",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "33414",
"telephone_number": "561-753-6768",
"fax_number": "561-753-6763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 STATE ROAD 7",
"address_2": "SUITE B530",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "33414",
"telephone_number": "561-753-6768",
"fax_number": "561-753-6763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY COMMUNITY PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-27",
"last_updated": "2015-05-27",
"status": "A",
"authorized_official_last_name": "RABIEIFAR",
"authorized_official_first_name": "MEROEN",
"authorized_official_title_or_position": "VICE PRESIDENT/PHARMACIST",
"authorized_official_telephone_number": "561-876-4043",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH24114",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003711000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.