NPIMap

Organization Active NPI

The Jerome Golden Center for Behavioral Health Inc

  • Specialty Pharmacy
  • West Palm Beach, FL
National Provider Identifier
1760418545
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
PH1868 Issued in FL
Legal business name
THE JEROME GOLDEN CENTER FOR BEHAVIORAL HEALTH INC
Practice address
1041 45TH St
West Palm Beach, FL 33407-2402
Phone
(561) 383-5706
Fax
(561) 514-1965
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Authorized official

Name
Thanh Le, PHARMD
Title
Pharmacist
Phone
(561) 383-5765

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Institutional Pharmacy 3336I0012X
Long Term Care Pharmacy 3336L0003X
Specialty Pharmacy 3336S0011X PH1868 FL Primary

Addresses

Primary practice location

1041 45TH St
West Palm Beach, FL 33407-2402

Mailing address

1041 45TH St
West Palm Beach, FL 33407-2402
Phone (561) 383-5706

Other identifiers 2

IdentifierTypeStateIssuer
105071100MedicaidFL
2008115OtherPK

Other names 1

  • Jerome Golden Center for Behavior Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oakwood Center of the Palm Beaches5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1760418545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 45TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072402",
            "telephone_number": "561-383-5706",
            "fax_number": "561-514-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 45TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072402",
            "telephone_number": "561-383-5706",
            "fax_number": "561-514-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JEROME GOLDEN CENTER FOR BEHAVIORAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "THANH",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "561-383-5765",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "FL",
            "license": "PH1868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105071100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2008115",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jerome Golden Center for Behavior",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.