NPIMap

Organization Active NPI

Village Pharmacy, LLC

  • Community/Retail Pharmacy
  • Deerfield Beach, FL
National Provider Identifier
1366774739
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH24818 Issued in FL
Legal business name
VILLAGE PHARMACY, LLC
Doing business as
VILLAGE PHARMACY
Practice address
1804 W Hillsboro Blvd
Deerfield Beach, FL 33442-1402
Phone
(954) 428-3784
Fax
(954) 428-3783
NPI assigned
Feb 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Jose Anibal Cabral
Title
Managing Member
Phone
(954) 428-3784

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X PH24818 FL Primary

Addresses

Primary practice location

1804 W Hillsboro Blvd
Deerfield Beach, FL 33442-1402

Mailing address

1804 W Hillsboro Blvd
Deerfield Beach, FL 33442-1402
Phone (954) 428-3784

Other identifiers 1

IdentifierTypeStateIssuer
PH24818OtherFLPHARMACY LICENSE

Other names 1

  • VILLAGE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Village 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.

NPI Registry JSON

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1366774739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 W HILLSBORO BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421402",
            "telephone_number": "954-428-3784",
            "fax_number": "954-428-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 W HILLSBORO BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421402",
            "telephone_number": "954-428-3784",
            "fax_number": "954-428-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "CABRAL",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ANIBAL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "954-428-3784"
    },
    "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": "PH24818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PH24818",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLAGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.