Express Plus Pharmacy LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PH25373 Issued in FL

Legal business name

EXPRESS PLUS PHARMACY LLC

Practice address

6692 Stirling Rd
Hollywood, FL 33024-1954

Phone

(954) 589-0790

Fax

(954) 416-6132

NPI assigned

May 8, 2013

Organization subpart

No

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

Authorized official

Name

Sandra Maciel

Title

Managing Member

Phone

(954) 589-0790

Specialties & licenses 1

Addresses

Tax ID family

Express Plus Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Express Plus Pharmacy

  • Community/Retail Pharmacy
  • Miami, FL
  • NPI 1780983106
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Heiblum, PHARMD

  • Pharmacist
  • Davie, FL
  • NPI 1992128417
  NPD (past)

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1356786099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6692 STIRLING RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330241954",
            "telephone_number": "954-589-0790",
            "fax_number": "954-416-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6692 STIRLING RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330241954",
            "telephone_number": "954-589-0790",
            "fax_number": "954-416-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS PLUS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "MACIEL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "954-589-0790"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "FL",
            "license": "PH25373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Compounding Pharmacy in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Compounding Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.