Organization Active NPI

Pharmausa LLC

Doing business as Gulfstream Pharmacy

  • Community/Retail Pharmacy
  • Hallandale Beach, FL
National Provider Identifier
1548573876
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH24745 Issued in FL
Legal business name
PHARMAUSA LLC
Doing business as
Gulfstream Pharmacy
Practice address
406 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-5563
Phone
(954) 455-2525
Fax
(954) 455-2521
NPI assigned
Jul 15, 2010
Last updated
Jul 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Authorized official

Name
Bharat Patel
Title
Pharmacist/Owner
Phone
(954) 785-7747

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH24745 FL Primary

Addresses

Primary practice location

406 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-5563

Mailing address

406 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-5563
Phone (954) 455-2525

Other identifiers 1

IdentifierTypeStateIssuer
5700718OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • GULFSTREAM PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

406 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 455-2525

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1548573876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 E HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095563",
            "telephone_number": "954-455-2525",
            "fax_number": "954-455-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 E HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095563",
            "telephone_number": "954-455-2525",
            "fax_number": "954-455-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMAUSA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BHARAT",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "954-785-7747"
    },
    "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": "PH24745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5700718",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GULFSTREAM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.