Active NPI
Cypress Center Pharmacy, Inc.
- Pharmacy
- Vero Beach, FL
National Provider Identifier
1629158100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- CYPRESS CENTER PHARMACY, INC.
- Practice address
- 2912 Ocean Dr
Vero Beach, FL 32963-1949 - Phone
- (772) 231-6931
- Fax
- (772) 231-0731
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Frankenberger, PHARM. D.
- Title
- Manager
- Phone
- (772) 231-6931
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS34879 | FL | |
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
2912 Ocean Dr
Vero Beach, FL 32963-1949
Mailing address
2912 Ocean Dr
Vero Beach, FL 32963-1949
Phone (772) 231-6931
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008511500 | Medicaid | FL |
Other names 1
- Corey's Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201008000969 | FL | Part B Supplier - Pharmacy | 1557780749 | Practice locations: Vero Beach, FL |
National Provider Directory
National Provider DirectoryLocations
2912 Ocean Dr
Vero Beach, FL 32963
Phone (772) 231-6931
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Vero Beach, FL
- NPI 1992371454
-
- Pharmacist
- Vero Beach, FL
- NPI 1508433046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1573084800000",
"number": "1629158100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2912 OCEAN DR",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329631949",
"telephone_number": "772-231-6931",
"fax_number": "772-231-0731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2912 OCEAN DR",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329631949",
"telephone_number": "772-231-6931",
"fax_number": "772-231-0731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CYPRESS CENTER PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2019-11-07",
"status": "A",
"authorized_official_last_name": "FRANKENBERGER",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "772-231-6931",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM. D."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "FL",
"license": "PS34879",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008511500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Corey's Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Corey's Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.