Active NPI
Pharma Advantage LLC
- Pharmacy
- Boca Raton, FL
National Provider Identifier
1396659694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- PHARMA ADVANTAGE LLC
- Practice address
- 22466 Thousand Pines LN
Boca Raton, FL 33428-3803 - Phone
- (501) 529-1684
- Fax
- (501) 476-4559
- NPI assigned
- Oct 1, 2026
- Last updated
- Oct 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bryan Lara
- Title
- Manager
- Phone
- (501) 529-1684
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | Primary |
Addresses
Primary practice location
22466 Thousand Pines LN
Boca Raton, FL 33428-3803
Mailing address
1913 S Mintle St TRLR 42
Airway Heights, WA 99001-5262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791331200000",
"number": "1396659694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1913 S MINTLE ST TRLR 42",
"city": "AIRWAY HEIGHTS",
"state": "WA",
"postal_code": "990015262",
"fax_number": "501-476-4559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22466 THOUSAND PINES LN",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334283803",
"telephone_number": "501-529-1684",
"fax_number": "501-476-4559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMA ADVANTAGE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-01",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A",
"authorized_official_last_name": "LARA",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "501-529-1684"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
- Peymon Zarreii MD PA
- Gail M Pezzullo-Burgs, MD
- PF Adult Day Care LLC (Boca Raton Adult Day Care Center)
- PF Adult Day Care LLC
- Jenny Pham, PHARMD
- Pharma Huis Consultants Inc (Lyons Medical Supplies)
- Pharmaceutical Care Consultants of So. FL/Dba Skip's Pharmacy
- Pharmacy Brasil Las Americas Boca LLC (Brasil Las Americas)
- Richard Cannon Phelps, D.O.
- Vai Hue Phen, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.