Organization Active NPI

NDBP LLC

Doing business as Sample Square Pharmacy

  • Community/Retail Pharmacy
  • Pompano Beach, FL
National Provider Identifier
1356581243
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH23936 Issued in FL
Legal business name
NDBP LLC
Doing business as
Sample Square Pharmacy
Practice address
523 E Sample Rd
Pompano Beach, FL 33064-4425
Phone
(954) 785-7747
Fax
(954) 785-7450
NPI assigned
Mar 5, 2009
Last updated
Oct 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
Bharat Patel
Title
Phcy MGR / President
Phone
(954) 785-7747

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X PH23936 FL Primary

Addresses

Primary practice location

523 E Sample Rd
Pompano Beach, FL 33064-4425

Mailing address

523 E Sample Rd
Pompano Beach, FL 33064-4425
Phone (954) 785-7747

Other identifiers 1

IdentifierTypeStateIssuer
1043152OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • SAMPLE SQUARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

523 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 785-7747

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1356581243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 E SAMPLE RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644425",
            "telephone_number": "954-785-7747",
            "fax_number": "954-785-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 E SAMPLE RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644425",
            "telephone_number": "954-785-7747",
            "fax_number": "954-785-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NDBP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BHARAT",
        "authorized_official_title_or_position": "PHCY MGR / PRESIDENT",
        "authorized_official_telephone_number": "954-785-7747"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1043152",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAMPLE SQUARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.