Waldrug LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH31136 Issued in FL

Legal business name

WALDRUG LLC

Practice address

3387 S Jog Rd
Greenacres, FL 33467-2010

Phone

(561) 444-8399

Fax

(561) 653-1056

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Ana Ochoa

Title

Owner

Phone

(561) 444-8399

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MedFlorida Pharmacy Doing business as

Tax ID family

Waldrug LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Waldrug LLC

  • Community/Retail Pharmacy
  • Deerfield Beach, FL
  • NPI 1912663378
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Waldrug LLC

  • Community/Retail Pharmacy
  • Deerfield Beach, FL
  • NPI 1912663378
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Williams, PHARM D

  • Pharmacist
  • Lantana, FL
  • NPI 1518204403
  NPD

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1730615766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4189",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334424189",
            "telephone_number": "561-444-8399",
            "fax_number": "561-429-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3387 S JOG RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672010",
            "telephone_number": "561-444-8399",
            "fax_number": "561-653-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "OCHOA",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-444-8399"
    },
    "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": "PH31136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175717",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109478000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedFlorida Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Wal-Mart Stores East LP
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• Ronesheia Walker Ebe
• Roger Ashley Walker, D.O.
• Desean Wallace
• Warbird Lab Services LLC

• Community/Retail Pharmacy in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.