Organization Active NPI

Our Pharmacy Network LLC

  • Community/Retail Pharmacy
  • Ft Lauderdale, FL
National Provider Identifier
1740638527
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH30167 Issued in FL
Legal business name
OUR PHARMACY NETWORK LLC
Practice address
3350 NW 53Rd St
Suite 103
Ft Lauderdale, FL 33309-6354
Phone
(844) 238-9313
Fax
(844) 253-6404
NPI assigned
Jun 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Authorized official

Name
Damaine Johnson
Title
MGR
Phone
(844) 238-9313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH30167 FL Primary

Addresses

Primary practice location

3350 NW 53Rd St
Suite 103
Ft Lauderdale, FL 33309-6354

Mailing address

3350 NW 53Rd St
Suite 103
Ft Lauderdale, FL 33309-6354
Phone (844) 238-9313

National Provider Directory

National Provider Directory

Locations

3350 NW 53rd St
Ste 103
Ft Lauderdale, FL 33309
Phone (844) 238-9313

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1740638527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 NW 53RD ST",
            "address_2": "SUITE 103",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333096354",
            "telephone_number": "844-238-9313",
            "fax_number": "844-253-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 NW 53RD ST",
            "address_2": "SUITE 103",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333096354",
            "telephone_number": "844-238-9313",
            "fax_number": "844-253-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR PHARMACY NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAMAINE",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "844-238-9313"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH30167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.