Palm Medicine Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH25870 Issued in FL

Legal business name

PALM MEDICINE INC

Practice address

2711 E Atlantic Blvd
Pompano Beach, FL 33062-4941

Phone

(954) 532-7940

Fax

(954) 876-1286

NPI assigned

Jan 6, 2012

Organization subpart

No

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

Authorized official

Name

Robert Shahnazarian

Title

Owner/ Pharmacist

Phone

(954) 336-9097

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Palm Medicine Inc. Doing business as

Locations

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1477823474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 E ATLANTIC BLVD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624941",
            "telephone_number": "954-532-7940",
            "fax_number": "954-876-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 E ATLANTIC BLVD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624941",
            "telephone_number": "954-532-7940",
            "fax_number": "954-876-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "SHAHNAZARIAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/ PHARMACIST",
        "authorized_official_telephone_number": "954-336-9097"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5711127",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Medicine Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Palasciano, PH.D.
• Sholem Michael Palevsky, DO
• Brad Paley, LCSW
• Richard Paley
• Palm Coast Anesthesia
• Erin Kathryn Palmer
• Marcia Marie Palmer
• Anika Damali Pamblanco
• Pan Care LLC
• Camila Panama

• Community/Retail Pharmacy in Pompano Beach, FL
• Providers in Pompano 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 Aug 1, 2012; 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.