Organization Active NPI

Medpointpharmacy, Incorporated

  • Community/Retail Pharmacy
  • Boca Raton, FL
National Provider Identifier
1770804106
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH24655 Issued in FL
Legal business name
MEDPOINTPHARMACY, INCORPORATED
Practice address
23020 Sandalfoot Plaza Dr
Boca Raton, FL 33428-6654
Phone
(561) 451-2111
NPI assigned
Jun 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Authorized official

Name
Dmitry Bukritsky
Title
Manager
Phone
(954) 937-9930

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH24655 FL Primary

Addresses

Primary practice location

23020 Sandalfoot Plaza Dr
Boca Raton, FL 33428-6654

Mailing address

23020 Sandalfoot Plaza Dr
Boca Raton, FL 33428-6654
Phone (561) 451-2111

Other identifiers 1

IdentifierTypeStateIssuer
5700427OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MedPoint Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medpoint Pharmacy2 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

23020 Sandalfoot Plaza Dr
Boca Raton, FL 33428
Phone (561) 451-2111

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1770804106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23020 SANDALFOOT PLAZA DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286654",
            "telephone_number": "561-451-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23020 SANDALFOOT PLAZA DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286654",
            "telephone_number": "561-451-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPOINTPHARMACY, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "BUKRITSKY",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-937-9930"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5700427",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedPoint Pharmacy",
            "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 Jun 21, 2010; 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.