Active NPI
Williams Pharmacies LLC
Doing business as Libra Sun Pharmacy
- Community/Retail Pharmacy
- Oakland Park, FL
National Provider Identifier
1720315153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH23751
- Legal business name
- WILLIAMS PHARMACIES LLC
- Doing business as
- Libra Sun Pharmacy
- Practice address
- 141 E Commercial Blvd
Oakland Park, FL 33334-1623 - Phone
- (954) 616-5675
- Fax
- (954) 626-0297
- NPI assigned
- Nov 5, 2009
- Last updated
- Dec 18, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marko Jaric
- Title
- Owner
- Phone
- (954) 616-5675
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH23751 | FL | Primary |
Addresses
Primary practice location
141 E Commercial Blvd
Oakland Park, FL 33334-1623
Mailing address
141 E Commercial Blvd
Oakland Park, FL 33334-1623
Phone (954) 616-5675
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2123167 | Other | PK | |
| 001584700 | Medicaid | FL |
Other names 1
- Libra Sun Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Libra Sun Pharmacy
Other organizations with this tax ID 1
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": "1257379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1545091200000",
"number": "1720315153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 E COMMERCIAL BLVD",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333341623",
"telephone_number": "954-616-5675",
"fax_number": "954-626-0297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 E COMMERCIAL BLVD",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333341623",
"telephone_number": "954-616-5675",
"fax_number": "954-626-0297"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAMS PHARMACIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-05",
"last_updated": "2018-12-18",
"status": "A",
"authorized_official_last_name": "JARIC",
"authorized_official_first_name": "MARKO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-616-5675"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH23751",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2123167",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001584700",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Libra Sun Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Libra Sun Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Oakland Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.