Petmed Express Inc

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

PH14144 Issued in FL

Legal business name

PETMED EXPRESS INC

Practice address

420 S Congress Ave
Delray Beach, FL 33445-4693

Phone

(888) 738-6331

Fax

(954) 971-0544

NPI assigned

Jun 7, 2007

Organization subpart

No

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

Authorized official

Name

Eddie Khoriaty

Title

Director of Pharmacy Services

Phone

(888) 738-6331

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• 1-800-PetMeds Doing business as

Locations

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1356544258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 SW 29TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694820",
            "telephone_number": "888-738-6331",
            "fax_number": "954-971-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S CONGRESS AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454693",
            "telephone_number": "888-738-6331",
            "fax_number": "954-971-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETMED EXPRESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "KHORIATY",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY SERVICES",
        "authorized_official_telephone_number": "888-738-6331"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "FL",
            "license": "PH14144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148866",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1-800-PetMeds",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter Pearlman, MD PA
• Jasmine Nashara Peterson
• Patricia Peterson, LMT/MEDICAL MASSAGE
• Zachary John Peterson, RBT
• Regina Petill
• Andrea Marie Petri
• Michael G Petrover, MD
• Kayleen Pezaris
• Harvey Alan Pflanzer
• Anh Tuan Pham, M.D.

• Mail Order Pharmacy in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Mail Order Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.