Southern States Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH24848 Issued in FL

Legal business name

SOUTHERN STATES PHARMACY

Practice address

4047 Okeechobee Blvd
Suite #120
West Palm Beach, FL 33409-3239

Phone

(561) 487-3808

NPI assigned

Sep 3, 2010

Organization subpart

No

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

Authorized official

Name

Omar Onesta Harvey

Title

Owner

Phone

(561) 487-3808

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1437466968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4047 OKEECHOBEE BLVD",
            "address_2": "SUITE #120",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4047 OKEECHOBEE BLVD",
            "address_2": "SUITE #120",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093239",
            "telephone_number": "561-487-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN STATES PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "ONESTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-487-3808"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Ocean Recovery Inc.
• South Palm Beach Imaging
• Southern Florida Homecare, Inc
• Southern Laboratory Services LLC
• Southern Primary Care, LLC
• Judite Souto
• Thais Souza, MS, CF-SLP
• Ann Salazar Spackman, LCSW
• Carla Spalding
• Robert Michael Spanicciati, CAP

• Community/Retail Pharmacy in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.