Organization Active NPI

Akdm RX LLC

Doing business as Prescription Drug Foundation Pharmacy

  • Community/Retail Pharmacy
  • North Miami Beach, FL
National Provider Identifier
1467470336
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH998 Issued in FL
Legal business name
AKDM RX LLC
Doing business as
Prescription Drug Foundation Pharmacy
Practice address
1777 NE 163Rd St
North Miami Beach, FL 33162-4732
Phone
(305) 947-0433
Fax
(855) 647-1321
NPI assigned
Jul 18, 2006
Last updated
Feb 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Salar Habibi, PHARM. DNPI 1427729789
Title
Pharmacy Manager
Phone
(305) 947-0433

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 NU
Customized Equipment (DME) 332BC3200X NU
Community/Retail Pharmacy 3336C0003X PH998 FL Primary

Addresses

Primary practice location

1777 NE 163Rd St
North Miami Beach, FL 33162-4732

Mailing address

1777 NE 163Rd St
North Miami Beach, FL 33162-4732
Phone (305) 947-0433

Other identifiers 1

IdentifierTypeStateIssuer
023447500MedicaidFL

Other names 1

  • Prescription Drug Foundation Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200529002047 FL DME Supplier - Pharmacy 7315368321 Practice locations: North Miami Beach, FL
O20240613000562 FL Part B Supplier - Mass Immunization (Roster Biller Only) 0648712018 Practice locations: North Miami Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Prescription Drug Foundation of Nor1777 NE 163Rd St, North Miami Beach, FL 33162-4732(305) 947-0433 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since May 23, 2020

National Provider Directory

National Provider Directory

Locations

1777 NE 163rd St
North Miami Beach, FL 33162
Phone (305) 947-0433

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1467470336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 NE 163RD ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624732",
            "telephone_number": "305-947-0433",
            "fax_number": "855-647-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 NE 163RD ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624732",
            "telephone_number": "305-947-0433",
            "fax_number": "855-647-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKDM RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-02-02",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "HABIBI",
        "authorized_official_first_name": "SALAR",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "305-947-0433",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023447500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescription Drug Foundation Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.