Epic Care Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EPIC CARE PHARMACY LLC

Practice address

3948 Pembroke Rd Ste D
Pembroke Park, FL 33021-8114

Phone

(954) 963-2113

NPI assigned

May 12, 2022

Organization subpart

No

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

Authorized official

Name

Alvaneta Osbourne

Title

Owner

Phone

(954) 963-2113

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Epic Care Pharmacy LLC

  dba Epic Care Pharmacy

  • Community/Retail Pharmacy
  • Pembroke Park, FL
  • NPI 1952724510

  O20210322000709

  Same enrollment

Tax ID family

Epic Care Pharmacy LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Epic Care Pharmacy LLC

  • Long Term Care Pharmacy
  • Hollywood, FL
  • NPI 1497573588
  NPD tax ID
• Epic Care Pharmacy LLC

  dba Epic Care Pharmacy

  • Community/Retail Pharmacy
  • Pembroke Park, FL
  • NPI 1952724510
  NPD tax ID

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1477299352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 NW 139TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282340",
            "telephone_number": "954-963-2113",
            "fax_number": "954-963-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3948 PEMBROKE RD STE D",
            "city": "PEMBROKE PARK",
            "state": "FL",
            "postal_code": "330218114",
            "telephone_number": "954-963-2113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3948 Pembroke Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330218114",
            "country_code": "US",
            "telephone_number": "954-963-2113",
            "fax_number": "954-963-2199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EPIC CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "OSBOURNE",
        "authorized_official_first_name": "ALVANETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-963-2113"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014224200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "epic@epiccarerx.com",
            "affiliation": "N",
            "address_1": "3948 Pembroke Rd Ste D",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330218114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Retail Pharmacy in Pembroke Park, FL
• Providers in Pembroke Park, 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 May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.