Organization Active NPI

Pete's Pharmacy Inc

Doing business as Pete's Pharmacy

  • Community/Retail Pharmacy
  • Stuart, FL
National Provider Identifier
1538400502
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH26674 Issued in FL
Legal business name
PETE'S PHARMACY INC
Doing business as
Pete's Pharmacy
Practice address
6400 SE Federal Hwy
Stuart, FL 34997-8313
Phone
(772) 463-7720
Fax
(772) 463-7714
NPI assigned
Mar 15, 2013
Last updated
Mar 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Authorized official

Name
Peter BarskiNPI 1174672877
Title
Owner/Pharmacist
Phone
(561) 339-9412

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH26674 FL Primary

Addresses

Primary practice location

6400 SE Federal Hwy
Stuart, FL 34997-8313

Mailing address

10909 SE Harken Ter
Jupiter, FL 33469-8149
Phone (561) 339-9412

Other identifiers 1

IdentifierTypeStateIssuer
5713777OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Pete's Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

6400 SE Federal Hwy
Stuart, FL 34997
Phone (772) 463-7720

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1538400502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10909 SE HARKEN TER",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334698149",
            "telephone_number": "561-339-9412",
            "fax_number": "772-463-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349978313",
            "telephone_number": "772-463-7720",
            "fax_number": "772-463-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETE'S PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "BARSKI",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "561-339-9412"
    },
    "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": "PH26674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5713777",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pete's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.