Organization Active NPI

Nirvana Oasis Inc

  • Community/Retail Pharmacy
  • Lake Worth, FL
National Provider Identifier
1720994874
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NIRVANA OASIS INC
Practice address
3921 A St
Lake Worth, FL 33461-3536
Phone
(561) 267-8900
NPI assigned
Aug 19, 2026
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Edgardo Pascal
Title
Manageer
Phone
(561) 267-8900

Specialties & licenses 2

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

Addresses

Primary practice location

3921 A St
Lake Worth, FL 33461-3536

Mailing address

3921 A St
Lake Worth, FL 33461-3536
Phone (561) 267-8900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1720994874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 A ST",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613536",
            "telephone_number": "561-267-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 A ST",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613536",
            "telephone_number": "561-267-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRVANA OASIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "PASCAL",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_title_or_position": "MANAGEER",
        "authorized_official_telephone_number": "561-267-8900"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.