NPIMap

Organization Active NPI

Cre8 Pharmacy Group

  • Community/Retail Pharmacy
  • Coral Springs, FL
National Provider Identifier
1487166153
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH30989 Issued in FL
Legal business name
CRE8 PHARMACY GROUP
Practice address
3700 NW 126TH Avenue
Coral Springs, FL 33065-2408
Phone
(754) 529-8353
Fax
(754) 529-8294
NPI assigned
Nov 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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

Authorized official

Name
Nancy Dube
Title
Ceo
Phone
(754) 529-8353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH30989 FL Primary

Addresses

Primary practice location

3700 NW 126TH Avenue
Coral Springs, FL 33065-2408

Mailing address

3700 NW 126TH Avenue
Coral Springs, FL 33065-2408
Phone (754) 529-8353

National Provider Directory

National Provider Directory

Locations

3700 NW 126th Ave
Coral Springs, FL 33065
Phone (754) 529-8353

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1487166153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 NW 126TH AVENUE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330652408",
            "telephone_number": "754-529-8353",
            "fax_number": "754-529-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 NW 126TH AVENUE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330652408",
            "telephone_number": "754-529-8353",
            "fax_number": "754-529-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRE8 PHARMACY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "DUBE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "754-529-8353"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH30989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.