J & J Turf Supply Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH24253 Issued in FL

Legal business name

J & J TURF SUPPLY INC.

Doing business as

Elite Compounding Pharmacy

Practice address

4911 Lyons Technology Pkwy
# 7
Coconut Creek, FL 33073-4347

Phone

(954) 419-1390

Fax

(954) 419-1390

NPI assigned

Sep 20, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Hugh E. Freed

Title

Director

Phone

(954) 346-6107

Specialties & licenses 1

Addresses

Other names 1

• Elite Compounding Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1528319340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 LYONS TECHNOLOGY PKWY",
            "address_2": "# 7",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734347",
            "telephone_number": "954-419-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 LYONS TECHNOLOGY PKWY",
            "address_2": "# 7",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734347",
            "telephone_number": "954-419-1390",
            "fax_number": "954-419-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & J TURF SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "FREED",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-346-6107",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Coconut Creek, FL
• Providers in Coconut Creek, 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 Sep 20, 2012; 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.