Polomar Specialty Pharmacy LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

POLOMAR SPECIALTY PHARMACY LLC

Practice address

32866 US Highway 19 N
Palm Harbor, FL 34684-3124

Phone

(727) 202-2217

Fax

(727) 361-6197

NPI assigned

May 5, 2023

Last updated

May 5, 2023By 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. Michael Derby

Title

President

Phone

(914) 987-2875

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Ahmad Zaiter

  • Pharmacist
  • Palm Harbor, FL
  • NPI 1306436233
  NPD
• Mohamed Elbate Abdelwahed, RPH

  • Pharmacist
  • Auburndale, FL
  • NPI 1326796954
  NPD (past)

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1619666526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32866 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843124",
            "telephone_number": "727-202-2217",
            "fax_number": "727-361-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32866 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843124",
            "telephone_number": "727-202-2217",
            "fax_number": "727-361-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLOMAR SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "DERBY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-987-2875",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Marie Pogonowski, D.C.
• Arthur Roy Polin, M.D.
• Polin, Rutledge, & Fischer, M.D., PA
• Robin Ann Polizzi
• Polmed PA
• Andrew Polomsky, DPT
• Nina Poncia, HIS
• John Portolano, LCSW
• Alyssa Joy Posavec, LCSW
• Lidu Ivette Potter, OT

• Compounding Pharmacy in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Compounding Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.