Librty for All Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LIBRTY FOR ALL PHARMACY

Practice address

3034 S Jog Road
Lake Woth, FL 33467-0000

Phone

(754) 245-8883

Fax

(954) 533-1042

NPI assigned

Apr 23, 2014

Organization subpart

No

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

Authorized official

Name

Trephene Brown

Title

Owner

Phone

(754) 245-8883

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1699195164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3034 S JOG RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672004",
            "telephone_number": "754-245-8883",
            "fax_number": "954-533-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3034 S JOG ROAD",
            "city": "LAKE WOTH",
            "state": "FL",
            "postal_code": "334670000",
            "telephone_number": "754-245-8883",
            "fax_number": "954-533-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBRTY FOR ALL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TREPHENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-245-8883"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.