NPIMap

Organization Active NPI

Gastro Health, LLC

  • Pharmacist
  • Delray Beach, FL
National Provider Identifier
1649703232
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
GASTRO HEALTH, LLC
Practice address
4675 Linton Blvd
202
Delray Beach, FL 33445-6615
Phone
(561) 495-5700
Fax
(561) 495-2020
NPI assigned
Apr 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Authorized official

Name
Michael Blum, MD
Title
Primary Pharmacy Physician
Phone
(561) 495-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X Primary

Addresses

Primary practice location

4675 Linton Blvd
202
Delray Beach, FL 33445-6615

Mailing address

9500 S Dadeland Blvd
200
Miami, FL 33156-2824
Phone (305) 468-4185

Other identifiers 1

IdentifierTypeStateIssuer
ME52969OtherFLPRIMARY PHARMACY PHYSICIAN MEDICAL LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Gastro Health PL76 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1649703232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 S DADELAND BLVD",
            "address_2": "200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562824",
            "telephone_number": "305-468-4185",
            "fax_number": "305-675-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 LINTON BLVD",
            "address_2": "202",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456615",
            "telephone_number": "561-495-5700",
            "fax_number": "561-495-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRO HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRIMARY PHARMACY PHYSICIAN",
        "authorized_official_telephone_number": "561-495-5700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMARY PHARMACY PHYSICIAN MEDICAL LICENSE",
            "identifier": "ME52969",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.