Active NPI
Ez Care Pharmacy Inc
- Community/Retail Pharmacy
- Hollywood, FL
National Provider Identifier
1417265265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH24872
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Artur Krasnopolskiy
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003082200 | Medicaid | FL | |
| 003082201 | Other | FL | MEDICAID DME |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Miami Gardens, FL
- NPI 1134724552
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.