Organization Active NPI

NPI 1598696601

  • Community/Retail Pharmacy
  • Lauderdale by the Sea, FL
National Provider Identifier
1598696601
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Practice address
253 Commercial Blvd Ste B
Lauderdale by the Sea, FL 33308-4528
Phone
(954) 683-5950
NPI assigned
May 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Andrew Jacobs, PHARMDNPI 1407585086
Title
Managing Member
Phone
(954) 683-5950

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

253 Commercial Blvd Ste B
Lauderdale by the Sea, FL 33308-4528

Mailing address

253 Commercial Blvd Ste B
Lauderdale by the Sea, FL 33308-4528
Phone (954) 331-8536

National Provider Directory

National Provider Directory

Locations

253 Commercial Blvd
Ste B
Lauderdale by the Sea, FL 33308

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1598696601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 COMMERCIAL BLVD STE B",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333084528",
            "telephone_number": "954-331-8536",
            "fax_number": "954-331-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 COMMERCIAL BLVD STE B",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333084528",
            "telephone_number": "954-683-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "954-683-5950",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale by the Sea, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.