Southern RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SOUTHERN RX LLC

Doing business as

Bellevue Pharmacy

Practice address

10131 W Commercial Blvd
Sunrise, FL 33351-4327

Phone

(954) 722-8111

Fax

(954) 722-8222

NPI assigned

Jul 16, 2012

Last updated

Jul 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan Alan Mordis, PHARM DNPI 1619101359

Title

Pharmacist in Charge

Phone

(954) 298-1736

Specialties & licenses 2

Addresses

Other names 1

• Bellevue Pharmacy Doing business as

Locations

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.

• Jonathan A Mordis, PHARM D

  • Pharmacist
  • Coral Springs, FL
  • NPI 1619101359
  Authorized official Same address or phone

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1548515620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10131 W COMMERCIAL BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333514327",
            "telephone_number": "954-722-8111",
            "fax_number": "954-722-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10131 W COMMERCIAL BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333514327",
            "telephone_number": "954-722-8111",
            "fax_number": "954-722-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "MORDIS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "954-298-1736",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellevue Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Sunrise, FL
• Providers in Sunrise, 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 Jul 16, 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.