NPIMap

Organization Active NPI

Prime Pharmacy Services, LLC

Doing business as Prime Pharmacy East

  • Long Term Care Pharmacy
  • Sarasota, FL
National Provider Identifier
1699023655
Registry record updated Aug 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PH24204 Issued in FL
Legal business name
PRIME PHARMACY SERVICES, LLC
Doing business as
Prime Pharmacy East
Practice address
2427 Porter Lake Dr
Suite 109
Sarasota, FL 34240-8853
Phone
(941) 378-2607
NPI assigned
Aug 24, 2012
Last updated
Aug 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2012

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

Authorized official

Name
Mark Erblat
Title
President
Phone
(561) 866-8060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X PH24204 FL Primary

Addresses

Primary practice location

2427 Porter Lake Dr
Suite 109
Sarasota, FL 34240-8853

Mailing address

2427 Porter Lake Dr
Suite 109
Sarasota, FL 34240-8853

Other identifiers 1

IdentifierTypeStateIssuer
032079000MedicaidFL

Other names 1

  • Prime Pharmacy East Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Prime Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1345766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345766400000",
    "number": "1699023655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 PORTER LAKE DR",
            "address_2": "SUITE 109",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342408853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 PORTER LAKE DR",
            "address_2": "SUITE 109",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342408853",
            "telephone_number": "941-378-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME PHARMACY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-24",
        "last_updated": "2012-08-24",
        "status": "A",
        "authorized_official_last_name": "ERBLAT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-866-8060"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH24204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032079000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Pharmacy East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; 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.