NPIMap

Organization Active NPI

Prairiestone Pharmacy LLC

  • Pharmacist
  • Fort Lauderdale, FL
National Provider Identifier
1508996497
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH22576 Issued in FL
Legal business name
PRAIRIESTONE PHARMACY LLC
Practice address
4101 Ravenswood Rd
Suite 105
Fort Lauderdale, FL 33312-5373
Phone
(954) 797-7970
Fax
(954) 797-7971
NPI assigned
Mar 7, 2007
Organization subpart
Yes
Parent organization
ARCADIA RESOURCESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Kari Harms
Title
Third Party Administrator
Phone
(763) 746-7764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PH22576 FL Primary

Addresses

Primary practice location

4101 Ravenswood Rd
Suite 105
Fort Lauderdale, FL 33312-5373

Mailing address

26777 Central Park Blvd
Suite 200
Southfield, MI 48076-4162
Phone (763) 746-7779

Other names 1

  • DAILYMED PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dailymed Pharmacy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4101 Ravenswood Rd
Ste 105
Fort Lauderdale, FL 33312
Phone (954) 797-7970

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1508996497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26777 CENTRAL PARK BLVD",
            "address_2": "SUITE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764162",
            "telephone_number": "763-746-7779",
            "fax_number": "763-746-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 RAVENSWOOD RD",
            "address_2": "SUITE 105",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125373",
            "telephone_number": "954-797-7970",
            "fax_number": "954-797-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIESTONE PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARCADIA RESOURCES",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "HARMS",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "THIRD PARTY ADMINISTRATOR",
        "authorized_official_telephone_number": "763-746-7764"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PH22576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAILYMED PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.