Organization Active NPI

Intracare Health Services

  • Pediatrics Physician
  • Deerfield Beach, FL
National Provider Identifier
1407468580
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
INTRACARE HEALTH SERVICES
Practice address
160 SW 12TH Ave Ste 101D
Deerfield Beach, FL 33442-3114
Phone
(888) 327-2233
Fax
(888) 439-4453
NPI assigned
Aug 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Authorized official

Name
Miles Gilman, PHARMDNPI 1154940716
Title
Director
Phone
(888) 327-2233

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X

Addresses

Primary practice location

160 SW 12TH Ave Ste 101D
Deerfield Beach, FL 33442-3114

Mailing address

160 SW 12TH Ave Ste 101D
Deerfield Beach, FL 33442-3114
Phone (888) 327-2233

Other identifiers 1

IdentifierTypeStateIssuer
PS19129OtherFLFLORIDA BOARD OF PHARMACY

Other names 1

  • Pharmacon, Inc. Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgilman@intracarehs.com Health Information Exchange (HIE) Pharmacon, inc.

National Provider Directory

National Provider Directory

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": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1407468580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SW 12TH AVE STE 101D",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423114",
            "telephone_number": "888-327-2233",
            "fax_number": "888-439-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SW 12TH AVE STE 101D",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423114",
            "telephone_number": "888-327-2233",
            "fax_number": "888-439-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRACARE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "GILMAN",
        "authorized_official_first_name": "MILES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "888-327-2233",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF PHARMACY",
            "identifier": "PS19129",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgilman@intracarehs.com",
            "affiliation": "Y",
            "endpointDescription": "Office",
            "affiliationName": "Pharmacon, inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "160 SW 12th Ave Ste 101D",
            "city": "Deerfield Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334423114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pharmacon, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pharmacon, Inc.",
            "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 Jun 13, 2022; 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.