Commcare Pharmacy-WPB LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

PH19356 Issued in FL

Legal business name

COMMCARE PHARMACY-WPB LLC

Practice address

1689 Forum PL
West Palm Beach, FL 33401-2303

Phone

(561) 615-0564

Fax

(561) 615-4508

NPI assigned

Jun 30, 2005

Organization subpart

No

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

Authorized official

Name

Judy Bianculli

Title

Office Manager

Phone

(954) 332-6170

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Commcare Specialty Pharmacy Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Commcare Pharmacy Mia LLC

  • Specialty Pharmacy
  • Miami, FL
  • NPI 1063423606

  Member Of

  NPD member

Locations

Practitioners 2

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

• Stanley Goldblatt, R.PH.

  • Pharmacist
  • West Palm Beach, FL
  • NPI 1841398450
  NPD (past)
• Tori-Lynn Kinney Saraniti, PHARMD

  • Pharmacist
  • Pompano Beach, FL
  • NPI 1912904442
  NPD (past)

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1770580292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 SW 78TH AVE",
            "address_2": "STE C100",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243223",
            "telephone_number": "954-568-6212",
            "fax_number": "954-568-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 FORUM PL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012303",
            "telephone_number": "561-615-0564",
            "fax_number": "561-615-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMCARE PHARMACY-WPB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "BIANCULLI",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-332-6170"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "FL",
            "license": "PH19356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2015699",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026144100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commcare Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialty Pharmacy in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Specialty Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.