NPIMap

Organization Active NPI

North Broward Hospital District

Doing business as Broward Health Annie L. Weaver Health Center Pharmacy

  • Community/Retail Pharmacy
  • Pompano Beach, FL
National Provider Identifier
1699709766
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NORTH BROWARD HOSPITAL DISTRICT
Doing business as
Broward Health Annie L. Weaver Health Center Pharmacy
Practice address
2011 NW 3Rd Ave
Pharmacy
Pompano Beach, FL 33060-4800
Phone
(954) 786-5910
NPI assigned
Jul 11, 2006
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH BROWARD HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Alisa Bert
Title
Interim Cfo
Phone
(954) 847-4117

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH13096 FL
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2011 NW 3Rd Ave
Pharmacy
Pompano Beach, FL 33060-4800

Mailing address

1700 NW 49TH St Ste 125
Fort Lauderdale, FL 33309-3750
Phone (954) 786-5910

Other names 1

  • Broward Health Annie L. Weaver Health Center Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220318001945 FL DME Supplier - Pharmacy 3577472422 Practice locations: Pompano Beach, FL
O20220329001097 FL Part B Supplier - Pharmacy 3577472422 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Lauderdale, FL; Pompano Beach, FL

Other NPIs with the same Medicare PAC ID 24

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 24

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
North Broward Hospital District2011 NW 3Rd Ave, Pompano Beach, FL 33060-4800(954) 786-5910 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since May 9, 2005

National Provider Directory

National Provider Directory
Tax ID family
Lauderdale Medical Grou140 organizations share this tax ID, including this one
Part of
Lauderdale Medical Grou

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

Locations (25 of 45)

4800 W Hillsboro Blvd
Ste A8
Coconut Creek, FL 33073
Phone (954) 481-9942

2901 Coral Hills Dr
Ste 150
Coral Springs, FL 33065
Phone (954) 753-0500

3001 Coral Hills Dr
#107
Coral Springs, FL 33065
Phone (954) 724-3470

3100 Coral Hills Dr
Ste 301
Coral Springs, FL 33065
Phone (954) 227-4353

8190 Royal Palm Blvd
Ste 202
Coral Springs, FL 33065
Phone (954) 753-7300

9750 NW 33rd St
Ste 221
Coral Springs, FL 33065
Phone (954) 240-9044

3200 S University Dr
Ste 4732
Davie, FL 33328
Phone (954) 355-4975

1500 E Hillsboro Blvd
Ste 202
Deerfield Beach, FL 33441
Phone (954) 421-1199

1800 W Hillsboro Blvd
Ste 203
Deerfield Beach, FL 33442
Phone (954) 421-0259

201 E Sample Rd
Fl 1
Deerfield Beach, FL 33064
Phone (954) 786-7392

1101 W Broward Blvd
#P
Fort Lauderdale, FL 33312
Phone (954) 463-8119

1111 W Broward Blvd
Ste 107
Fort Lauderdale, FL 33312
Phone (954) 527-6007

1417 SE 1st Ave
Ste 635
Fort Lauderdale, FL 33316
Phone (954) 832-0332

1600 S Andrews Ave
#8S
Fort Lauderdale, FL 33316
Phone (954) 712-6427

1625 SE 3rd Ave
#3
Fort Lauderdale, FL 33316
Phone (954) 355-5401

1625 SE 3rd Ave
#700
Fort Lauderdale, FL 33316
Phone (954) 525-4225

309 SE 18th St
Fort Lauderdale, FL 33316
Phone (954) 785-2990

6333 N Federal Hwy
Ste 100
Fort Lauderdale, FL 33308
Phone (954) 928-3250

789 S Federal Hwy
#106
Fort Lauderdale, FL 33316
Phone (954) 522-3355

12 NE 12th Ave
Ft Lauderdale, FL 33301
Phone (954) 463-3416

1314 SE 2nd Ave
Ft Lauderdale, FL 33316
Phone (954) 763-6655

1529 SE 4th Ave
Ft Lauderdale, FL 33316
Phone (954) 712-9993

1600 S Andrews Ave
Ste 101
Ft Lauderdale, FL 33316
Phone (954) 355-4345

1600 S Andrews Ave
Ste 1403
Ft Lauderdale, FL 33316
Phone (954) 355-4946

1625 SE 3rd Ave
#717
Ft Lauderdale, FL 33316
Phone (954) 712-6854

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • HealthSun Health Plans Network
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Broward Health NorthDeerfield Beach, FL, CCN 100086 Hospital Operational/Managerial Control May 14, 2008
Broward Health Imperial PointFort Lauderdale, FL, CCN 100200 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jan 1, 1984
Jan 1, 1984
Broward Health Medical Center-Psych UnitFort Lauderdale, FL, CCN 10S039 Hospital Operational/Managerial Control Jul 1, 2007
Broward Health Coral SpringsCoral Springs, FL, CCN 100276 Hospital Operational/Managerial Control (100%) Mar 17, 1987
Broward Health Imperial Point-Psych UnitFort Lauderdale, FL, CCN 10S200 Hospital Operational/Managerial Control (100%) Jul 1, 1984
Broward Health North- Rehab UnitDeerfield Beach, FL, CCN 10T086 Hospital Operational/Managerial Control May 13, 2008
Pompano Adult Primary CarePompano Beach, FL, CCN 101840 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 1993
Oct 1, 1993
Specialty Care CenterFort Lauderdale, FL, CCN 101841 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 1993
Jul 1, 1993
Margate Health CenterMargate, FL, CCN 681892 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 1993
Oct 1, 1993

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 249

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 249

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1699709766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NW 49TH ST STE 125",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093750",
            "telephone_number": "954-786-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 NW 3RD AVE",
            "address_2": "PHARMACY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330604800",
            "telephone_number": "954-786-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BROWARD HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH BROWARD HOSPITAL DISTRICT",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "BERT",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "INTERIM CFO",
        "authorized_official_telephone_number": "954-847-4117"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH13096",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broward Health Annie L. Weaver Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.