Active NPI
Boca Drugs Inc
- Community/Retail Pharmacy
- Boca Raton, FL
National Provider Identifier
1750665105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH25200
- Legal business name
- BOCA DRUGS INC
- Doing business as
- Boca Drugs Inc
- Practice address
- 156 NW 20TH St
Boca Raton, FL 33431-7949 - Phone
- (561) 395-8663
- Fax
- (561) 395-8664
- NPI assigned
- Oct 4, 2011
- 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
- Mary Louise Desimone
- Title
- Pharmacy MGR/ Owner
- Phone
- (954) 298-1961
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH25200 | FL | Primary |
Addresses
Primary practice location
156 NW 20TH St
Boca Raton, FL 33431-7949
Mailing address
156 NW 20TH St
Boca Raton, FL 33431-7949
Phone (561) 395-8663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5707697 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Boca Drugs Inc
National Provider Directory
National Provider Directory- Tax ID family
- Boca Drugs Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Boca Raton, FL
- NPI 1669778361
Locations
156 NW 20th St
Boca Raton, FL 33431
Phone (561) 395-8663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317686400000",
"number": "1750665105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 NW 20TH ST",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334317949",
"telephone_number": "561-395-8663",
"fax_number": "561-395-8664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 NW 20TH ST",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334317949",
"telephone_number": "561-395-8663",
"fax_number": "561-395-8664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOCA DRUGS INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-04",
"last_updated": "2011-10-04",
"status": "A",
"authorized_official_last_name": "DESIMONE",
"authorized_official_first_name": "MARY LOUISE",
"authorized_official_title_or_position": "PHARMACY MGR/ OWNER",
"authorized_official_telephone_number": "954-298-1961"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH25200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "5707697",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Boca Drugs Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.