Boca Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PH11442 Issued in FL

Legal business name

BOCA PHARMACY INC

Doing business as

Boca Pharmpac

Practice address

5458 Town Center Rd
Ste 7
Boca Raton, FL 33486-1089

Phone

(561) 393-6778

Fax

(561) 393-7650

NPI assigned

Oct 12, 2006

Last updated

Feb 16, 2010By 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

Wilfred Lumb, RPH

Title

Owner

Phone

(561) 368-6161

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BOCA PHARMPAC Doing business as

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1598854143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5458 TOWN CENTER RD",
            "address_2": "STE 7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861089",
            "telephone_number": "561-393-6778",
            "fax_number": "561-393-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5458 TOWN CENTER RD",
            "address_2": "STE 7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861089",
            "telephone_number": "561-393-6778",
            "fax_number": "561-393-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "LUMB",
        "authorized_official_first_name": "WILFRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-368-6161",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH11442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212557900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1077836",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOCA PHARMPAC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Boca Physicians
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• Boca Prestige Concierge
• Boca Prestige, PLLC

• Long Term Care Pharmacy in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Long Term Care Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.