Davie Pill Box LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH30436 Issued in FL

Legal business name

DAVIE PILL BOX LLC

Doing business as

Pill Box Pharmacy Davie

Practice address

7701 Nova Dr
Davie, FL 33324-5833

Phone

(954) 475-7455

Fax

(954) 475-7031

NPI assigned

Nov 7, 2016

Last updated

Dec 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas BohanNPI 1174143358

Title

Owner/Pharmacist/Manager

Phone

(954) 475-7455

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Pill Box Pharmacy Davie Doing business as

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• HealthSun Health Plans Network
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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.

• Thomas Anthony Bohan

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Davie, FL
  • NPI 1174143358
  NPD (past) Authorized official

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482019200000",
    "number": "1386186443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 NOVA DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333245833",
            "telephone_number": "954-475-7455",
            "fax_number": "954-475-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 NOVA DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333245833",
            "telephone_number": "954-475-7455",
            "fax_number": "954-475-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIE PILL BOX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-12-18",
        "status": "A",
        "authorized_official_last_name": "BOHAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/PHARMACIST/MANAGER",
        "authorized_official_telephone_number": "954-475-7455"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH30436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166136",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pill Box Pharmacy Davie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Davie Health & Wellness Center Inc.
• Davie Medi Center
• Davie Medical Center, LLC (HCA Florida University Hospital)
• Davie Medical Supplies LLC
• Davie Modern Dentistry, PA (Davie Modern Dentistry)
• Davie Psychiatry LLC
• Davie Road Pharmacy Inc (Davie Road Pharmacy)
• Davie Urgent Care LLC (Davie Urgent Care)
• Jackie M Davie, PH.D., CCC-A
• Camila Davette Davila Negron

• Community/Retail Pharmacy in Davie, FL
• Providers in Davie, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2016; 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.