Organization Active NPI

Century Boca LLC

Doing business as Express Care Pharmacy

  • Community/Retail Pharmacy
  • Boca Raton, FL
National Provider Identifier
1376611178
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH22384 Issued in FL
Legal business name
CENTURY BOCA LLC
Doing business as
Express Care Pharmacy
Practice address
9045 La Fontana Blvd
Ste 120
Boca Raton, FL 33434-5636
Phone
(561) 852-4200
Fax
(561) 852-8889
NPI assigned
Dec 1, 2006
Last updated
Dec 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Mark RubinNPI 1326151952
Title
President
Phone
(561) 756-3257

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH22384 FL Primary

Addresses

Primary practice location

9045 La Fontana Blvd
Ste 120
Boca Raton, FL 33434-5636

Mailing address

7040 W Palmotto Rd
Suite 4842
Boca Raton, FL 33433

Other identifiers 2

IdentifierTypeStateIssuer
1023439OtherOTHER ID NUMBER-COMMERCIAL NUMBER
1023439OtherOTHER ID NUMBER

Other names 1

  • EXPRESS CARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

9045 La Fontana Blvd
Ste 120
Boca Raton, FL 33434
Phone (561) 852-4200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1376611178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 W PALMOTTO RD",
            "address_2": "SUITE 4842",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 LA FONTANA BLVD",
            "address_2": "STE 120",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345636",
            "telephone_number": "561-852-4200",
            "fax_number": "561-852-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY BOCA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-756-3257"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH22384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1023439",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1023439",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXPRESS CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.