Organization Active NPI

Water Lilly Pharmacy LLC

  • Specialty Pharmacy
  • Hollywood, FL
National Provider Identifier
1396519633
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
WATER LILLY PHARMACY LLC
Practice address
3700 Washington St Ste 206
Hollywood, FL 33021-8249
Phone
(954) 417-5698
Fax
(855) 202-4832
NPI assigned
Nov 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Authorized official

Name
Gorjana ApostolovicNPI 1902495187
Title
Pharmacy Manager
Phone
(954) 417-5698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

3700 Washington St Ste 206
Hollywood, FL 33021-8249

Mailing address

3700 Washington St Ste 206
Hollywood, FL 33021-8249

National Provider Directory

National Provider Directory
Tax ID family
Water Lilly Pharmacy LLC2 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.

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1396519633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON ST STE 206",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON ST STE 206",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218249",
            "telephone_number": "954-417-5698",
            "fax_number": "855-202-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATER LILLY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "APOSTOLOVIC",
        "authorized_official_first_name": "GORJANA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "954-417-5698"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.