Organization Active NPI

Ez Care Pharmacy Inc

  • Community/Retail Pharmacy
  • Hollywood, FL
National Provider Identifier
1417265265
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH24872 Issued in FL
Legal business name
EZ CARE PHARMACY INC
Practice address
3353 Sheridan St Ste D
Hollywood, FL 33021-3632
Phone
(954) 981-0614
Fax
(954) 981-0663
NPI assigned
Sep 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Artur KrasnopolskiyNPI 1134724552
Title
Owner
Phone
(718) 314-3282

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PH24872 FL
Community/Retail Pharmacy 3336C0003X PH24872 FL Primary
Long Term Care Pharmacy 3336L0003X PH25248 FL

Addresses

Primary practice location

3353 Sheridan St Ste D
Hollywood, FL 33021-3632

Mailing address

3353 Sheridan St Ste D
Hollywood, FL 33021-3632
Phone (954) 981-0614

Other identifiers 2

IdentifierTypeStateIssuer
003082200MedicaidFL
003082201OtherFLMEDICAID DME

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": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1417265265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 SHERIDAN ST STE D",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213632",
            "telephone_number": "954-981-0614",
            "fax_number": "954-981-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3353 SHERIDAN ST STE D",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213632",
            "telephone_number": "954-981-0614",
            "fax_number": "954-981-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "KRASNOPOLSKIY",
        "authorized_official_first_name": "ARTUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-314-3282"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PH24872",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24872",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH25248",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003082200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "003082201",
            "state": "FL"
        }
    ],
    "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 Jul 7, 2015; 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.