Polarfrogrx Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

TBD Issued in FL

Legal business name

POLARFROGRX INC

Practice address

9375 Emerald Coast Pkwy W Ste 27B
Miramar Beach, FL 32550-7222

Phone

(850) 424-7438

Fax

(850) 396-0587

NPI assigned

Aug 15, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Brian Joseph Petrucci, RPH.NPI 1215279120

Title

President

Phone

(850) 424-7438

Specialties & licenses 2

Addresses

Other names 1

• SoWal Health & Drug Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Joseph Petrucci, RPH.

  • Pharmacist
  • Miramar Beach, FL
  • NPI 1215279120
  NPD Authorized official

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1679053136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 EMERALD COAST PKWY W STE 27B",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325507222",
            "telephone_number": "850-424-7438",
            "fax_number": "850-396-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 EMERALD COAST PKWY W STE 27B",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325507222",
            "telephone_number": "850-424-7438",
            "fax_number": "850-396-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARFROGRX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "PETRUCCI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-424-7438",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "TBD",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SoWal Health & Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mina Perez, RBT
• Katlyn Perkins, DO
• Brian Joseph Petrucci, RPH.
• Thomas Richard Pfaff, LMT, CPT
• Yohana Pino Hidalgo
• Katherine Lee Rourke Porter, ARNP
• Gregory Zamar Posey
• Jennifer Marie Potts, RBT-17-40864
• Allen Prier
• Psychological Care Services of FL, LLC

• All providers in Miramar Beach, FL
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.