Bermuda Pharmacy #1, PLLC – Pharmacy

Key facts

NPI: 1508250465
Entity type: Organization (NPI type 2)
Primary specialty: Pharmacy 333600000X
License: PS0040188 (FL)
Legal business name: BERMUDA PHARMACY #1, PLLC
Practice address: 393 Palm Dr
Islamorada, FL 33036-4212
Phone: (305) 903-8092
Fax: (305) 647-0263
NPI assigned: Mar 27, 2015
Organization subpart: No

Authorized official

Name: Dr. Nicholas Jastrzemski, PHARM.D., R.PH. NPI 1932377819
Title: Pharmacy Manager (PDM/ P.I.C.)
Phone: (305) 903-8092

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

Nicholas Jastrzemski, PHARM.D., R.PH. Pharmacist · Islamorada, FL · NPI 1932377819

NPD (past) Authorized official

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacy	333600000X	PS0040188	FL	Yes

Addresses

Primary practice location

393 Palm Dr
Islamorada, FL 33036-4212

Mailing address

393 Palm Dr
Islamorada, FL 33036-4212
Phone (305) 903-8092

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 27, 2015.

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1508250465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 PALM DR",
            "city": "ISLAMORADA",
            "state": "FL",
            "postal_code": "330364212",
            "telephone_number": "305-903-8092",
            "fax_number": "305-647-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 PALM DR",
            "city": "ISLAMORADA",
            "state": "FL",
            "postal_code": "330364212",
            "telephone_number": "305-903-8092",
            "fax_number": "305-647-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERMUDA PHARMACY #1, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "JASTRZEMSKI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PHARMACY MANAGER (PDM/ P.I.C.)",
        "authorized_official_telephone_number": "305-903-8092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D., R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PS0040188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islamorada, FL

All providers in Islamorada, FL · Pharmacy in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2015. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.