Vital Shred

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH24210 Issued in FL

Legal business name

VITAL SHRED

Doing business as

ATLANTIC PHARMACY & COMPOUNDING

Practice address

1000 E Atlantic Blvd Ste 110
Pompano Beach, FL 33060-7459

Phone

(954) 366-6519

Fax

(954) 366-6523

NPI assigned

Aug 6, 2009

Organization subpart

No

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

Authorized official

Name

Serge Francois

Title

Pharmacy Director

Phone

(954) 366-6519

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• ATLANTIC PHARMACY & COMPOUNDING Doing business as

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1508097668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E ATLANTIC BLVD",
            "address_2": "STE:110",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607479",
            "telephone_number": "954-366-6519",
            "fax_number": "954-366-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E ATLANTIC BLVD STE 110",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607459",
            "telephone_number": "954-366-6519",
            "fax_number": "954-366-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL SHRED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "FRANCOIS",
        "authorized_official_first_name": "SERGE",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "954-366-6519"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24210",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1051604",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATLANTIC PHARMACY & COMPOUNDING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Dec 16, 2009; 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.