Organization Active NPI

FCS Pharmacy LLC

  • Pharmacy
  • Boca Raton, FL
National Provider Identifier
1457393993
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH18941 Issued in FL
Legal business name
FCS PHARMACY LLC
Practice address
951 Broken Sound Pkwy
Suite 252
Boca Raton, FL 33487-3507
Phone
(800) 223-7151
Fax
(561) 995-9162
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Authorized official

Name
Mr. Jarrett Bostwick
Title
President
Phone
(561) 314-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH18941 FL Primary

Addresses

Primary practice location

951 Broken Sound Pkwy
Suite 252
Boca Raton, FL 33487-3507

Mailing address

PO Box 533211
Charlotte, NC 28290-3211
Phone (800) 223-7151

Other identifiers 2

IdentifierTypeStateIssuer
025907100MedicaidFL
200410770AMedicaidIN

National Provider Directory

National Provider Directory

Locations

951 Broken Sound Pkwy NW
Ste 252
Boca Raton, FL 33487
Phone (561) 314-1650

7700 Congress Ave
Ste 1113
Boca Raton, FL 33487
Phone (561) 314-1650

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1457393993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 533211",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282903211",
            "telephone_number": "800-223-7151",
            "fax_number": "561-995-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 BROKEN SOUND PKWY",
            "address_2": "SUITE 252",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873507",
            "telephone_number": "800-223-7151",
            "fax_number": "561-995-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FCS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "BOSTWICK",
        "authorized_official_first_name": "JARRETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-314-1700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH18941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025907100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200410770A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.