Pharmamedrx LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH29738 Issued in FL

Legal business name

PHARMAMEDRX LLC

Doing business as

Mint Pharmacy and Skin Clinic

Practice address

1201 US Highway 1 Ste 1
North Palm Beach, FL 33408-3546

Phone

(866) 855-6468

Fax

(561) 619-5169

NPI assigned

Jan 8, 2016

Last updated

Jun 23, 2016By 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

Jennifer Mooney Thompson

Title

Director of Pharmacy Operations

Phone

(866) 855-6468

Specialties & licenses 9

Addresses

Other identifiers 1

Other names 1

• Mint Pharmacy and Skin Clinic Doing business as

Tax ID family

Mint Pharmacy and Skin Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pharmamedrx LLC

  dba Mint Pharmacy and Skin Clinic

  • Pharmacy
  • Spring, TX
  • NPI 1770931677
  NPD tax ID

Locations

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1689030470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 US HIGHWAY 1",
            "address_2": "SUITE 1",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083550",
            "telephone_number": "866-855-6468",
            "fax_number": "561-619-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 US HIGHWAY 1 STE 1",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083546",
            "telephone_number": "866-855-6468",
            "fax_number": "561-619-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMAMEDRX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "MOONEY THOMPSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "866-855-6468"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "4635",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH29738",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "1648-43",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P07139",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0214001819",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "264992",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SD",
            "license": "400-1538",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "14722/7.1",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "LA",
            "license": "PHY.007319-NR",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157904",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mint Pharmacy and Skin Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leigh Ann Penniman, LMHC, CAP
• Paul Anthony Perella, D.M.D
• Elena E Perez, M.D.
• David Peterson, ARNP
• Michele Rose Petrus, OTR/L
• Physicians Wellness Centers, Inc
• Tatiana Pizzuti
• Plam Beach Stem Cell LLC
• PMR Medical Group
• Poulos Chiropractic, LLC (Florida Spine & Rehab)

• Community/Retail Pharmacy in North Palm Beach, FL
• Providers in North Palm Beach, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.