Organization Active NPI

Boca Drugs Inc

  • Community/Retail Pharmacy
  • Boca Raton, FL
National Provider Identifier
1750665105
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH25200 Issued in FL
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

Updated by the provider on Oct 4, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5707697OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Boca Drugs Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Boca Drugs Inc2 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.

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.

Verify at the official NPI Registry.