NPIMap

Organization Active NPI

Physician Family Pharmacy Corp. Physician Family Pharmacy

  • Long Term Care Pharmacy
  • Greenacres, FL
National Provider Identifier
1538779053
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PHYSICIAN FAMILY PHARMACY CORP. PHYSICIAN FAMILY PHARMACY
Doing business as
Physician Family Pharmacy Corp. Physician Family Pharmacy
Practice address
5869 Lake Worth Rd
Greenacres, FL 33463-3209
Phone
(561) 508-8449
NPI assigned
Aug 10, 2020
Last updated
Aug 10, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
PHYSICIAN FAMILY PHARMACY CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Authorized official

Name
Angelita NicolasNPI 1326575622
Title
Owner / President
Phone
(561) 508-8449

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

5869 Lake Worth Rd
Greenacres, FL 33463-3209

Mailing address

5869 Lake Worth Rd
Greenacres, FL 33463-3209
Phone (561) 508-8449

Other identifiers 1

IdentifierTypeStateIssuer
PH32219OtherFLDOH LICENSE

Other names 1

  • PHYSICIAN FAMILY PHARMACY CORP. PHYSICIAN FAMILY PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Physician Family Pharmacy Corp2 organizations share this tax ID, including this one
Part of
Physician Family Pharmacy Corp

Other organizations with this tax ID 1

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

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": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1538779053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5869 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633209",
            "telephone_number": "561-508-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5869 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633209",
            "telephone_number": "561-508-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN FAMILY PHARMACY CORP. PHYSICIAN FAMILY PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICIAN FAMILY PHARMACY CORP",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "NICOLAS",
        "authorized_official_first_name": "ANGELITA",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "561-508-8449"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH LICENSE",
            "identifier": "PH32219",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSICIAN FAMILY PHARMACY CORP. PHYSICIAN FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.