Organization Active NPI

Pines Pharmacy Inc

  • Pharmacy
  • Pembroke Pines, FL
National Provider Identifier
1619274131
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH25281 Issued in FL
Legal business name
PINES PHARMACY INC
Practice address
8930 Taft St
Pembroke Pines, FL 33024-4675
Phone
(954) 534-9166
Fax
(954) 342-9736
NPI assigned
Feb 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Authorized official

Name
Richard Osaiyuwu
Title
V.P
Phone
(954) 534-9166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH25281 FL Primary

Addresses

Primary practice location

8930 Taft St
Pembroke Pines, FL 33024-4675

Mailing address

8930 Taft St
Pembroke Pines, FL 33024-4675
Phone (954) 534-9166

Other identifiers 1

IdentifierTypeStateIssuer
PH25281OtherFLFLORIDA BOARD OF PHARMACY

National Provider Directory

National Provider Directory
Tax ID family
Pines Pharmacy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

8930 Taft St
Pembroke Pines, FL 33024
Phone (954) 534-9166

NPI Registry JSON

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1619274131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 TAFT ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330244675",
            "telephone_number": "954-534-9166",
            "fax_number": "954-342-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 TAFT ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330244675",
            "telephone_number": "954-534-9166",
            "fax_number": "954-342-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINES PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "OSAIYUWU",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "V.P",
        "authorized_official_telephone_number": "954-534-9166"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH25281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF PHARMACY",
            "identifier": "PH25281",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.