Pharmacy Distributor Services, Inc,.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PHARMACY DISTRIBUTOR SERVICES, INC,.

Practice address

112 Intracoastal Pointe Dr
Jupiter, FL 33477-5063

Phone

(561) 575-9477

Fax

(561) 575-9940

NPI assigned

Jul 28, 2005

Organization subpart

No

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

Authorized official

Name

Kimberly R Deckard

Title

Executive Vice President

Phone

(561) 575-9477

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346240702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 INTRACOASTAL POINTE DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775063",
            "telephone_number": "561-575-9477",
            "fax_number": "561-575-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 INTRACOASTAL POINTE DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775063",
            "telephone_number": "561-575-9477",
            "fax_number": "561-575-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY DISTRIBUTOR SERVICES, INC,.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DECKARD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "561-575-9477"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• L Pettersen
• Sandra Lee Pezzino, COTA
• PGL Medical Group, PA
• Pharmacy at Abacoa Inc
• Pharmacy at Abacoa, Inc.
• Jean L Philbin
• Randie Lee Phillips, MS-SLP
• Jennifer Philogene, PA-C
• Ronald D Philogene, APRN
• Virginia Christine Phipps, DO

• Durable Medical Equipment & Medical Supplies in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.