Hollywood Healthcare Corp

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

Legal business name

HOLLYWOOD HEALTHCARE CORP

Doing business as

Logimedix

Practice address

15851 SW 41St St Ste 700
Davie, FL 33331-1540

Phone

(954) 349-9551

Fax

(954) 349-9552

NPI assigned

Sep 1, 2011

Last updated

Sep 1, 2011By 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

Robert Kusher

Title

President

Phone

(954) 349-9551

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• LOGIMEDIX Doing business as

Locations

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1417238684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15851 SW 41ST ST",
            "address_2": "#700",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333311541",
            "telephone_number": "954-349-9551",
            "fax_number": "954-349-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15851 SW 41ST ST STE 700",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333311540",
            "telephone_number": "954-349-9551",
            "fax_number": "954-349-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD HEALTHCARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "KUSHER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-349-9551"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5707293",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000820400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOGIMEDIX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holiday CVS LLC (CVS Pharmacy 05115)
• Holistic Care Partners
• Jaymes Holland
• Vitonia Holley
• Hollywood Healthcare Corp (Logimedix)
• Hollywood Hormone Therapy
• Chanel Holston
• Laurie Ann Holtzclaw, APRN
• Home Caring Solutions & Staffing
• Home Health Care Team, LLC

• Mail Order Pharmacy in Davie, FL
• Providers in Davie, FL by specialty
• Mail Order Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.