Organization Active NPI

Family Pharmacy LLC

  • Community/Retail Pharmacy
  • Ft Lauderdale, FL
National Provider Identifier
1487962676
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH24954 Issued in FL
Legal business name
FAMILY PHARMACY LLC
Practice address
3230 W Broward Blvd
Ft Lauderdale, FL 33312-1113
Phone
(855) 873-7989
Fax
(954) 794-0657
NPI assigned
Sep 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Nermeen Girgis
Title
Owner/President
Phone
(954) 354-0530

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH24954 FL Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

3230 W Broward Blvd
Ft Lauderdale, FL 33312-1113

Mailing address

3230 W Broward Blvd
Ft Lauderdale, FL 33312-1113
Phone (855) 873-7989

Other identifiers 2

IdentifierTypeStateIssuer
003494400MedicaidFL
2129549OtherPK

Other names 1

  • Family Pharmacy,LLC Doing business as

National Provider Directory

National Provider Directory

Locations

3230 W Broward Blvd
Ft Lauderdale, FL 33312
Phone (855) 873-7989

2863 W Broward Blvd
Ft Lauderdale, FL 33312
Phone (786) 863-5610

Practitioners & affiliated clinicians

Practitioners 1

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": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1487962676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 W BROWARD BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121113",
            "telephone_number": "855-873-7989",
            "fax_number": "954-794-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 W BROWARD BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121113",
            "telephone_number": "855-873-7989",
            "fax_number": "954-794-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "GIRGIS",
        "authorized_official_first_name": "NERMEEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "954-354-0530"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24954",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003494400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129549",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Pharmacy,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.