Organization Active NPI

Lourdes Medical LLC

  • Pharmacy
  • Greenacres, FL
National Provider Identifier
1710801428
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
LOURDES MEDICAL LLC
Practice address
4824 10TH Ave N
Greenacres, FL 33463-2208
Phone
(561) 891-6844
NPI assigned
Aug 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Garry Augustin
Title
Manager
Phone
(561) 891-6844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

4824 10TH Ave N
Greenacres, FL 33463-2208

Mailing address

4824 10TH Ave N
Greenacres, FL 33463-2208
Phone (561) 891-6844

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1710801428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4824 10TH AVE N",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632208",
            "telephone_number": "561-891-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 10TH AVE N",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632208",
            "telephone_number": "561-891-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "AUGUSTIN",
        "authorized_official_first_name": "GARRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-891-6844"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.