Organization Active NPI

Your Friendly Pharmacy Inc

  • Community/Retail Pharmacy
  • Deerfield Beach, FL
National Provider Identifier
1790088805
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
24627 Issued in FL
Legal business name
YOUR FRIENDLY PHARMACY INC
Doing business as
Your Friendly Pharmacy, Inc.
Practice address
458 W Hillsboro Blvd
458 B
Deerfield Beach, FL 33441-1604
Phone
(954) 420-5273
Fax
(954) 420-5276
NPI assigned
Dec 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Authorized official

Name
Lana Wiseberg
Title
President/Owner
Phone
(954) 420-5273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 24627 FL Primary

Addresses

Primary practice location

458 W Hillsboro Blvd
458 B
Deerfield Beach, FL 33441-1604

Mailing address

458 W Hillsboro Blvd
458 B
Deerfield Beach, FL 33441-1604
Phone (954) 420-5273

Other identifiers 1

IdentifierTypeStateIssuer
5703067OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Your Friendly Pharmacy, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

458 W Hillsboro Blvd
#458B
Deerfield Beach, FL 33441
Phone (954) 420-5273

NPI Registry JSON

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1790088805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 W HILLSBORO BLVD",
            "address_2": "458 B",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411604",
            "telephone_number": "954-420-5273",
            "fax_number": "954-420-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 W HILLSBORO BLVD",
            "address_2": "458 B",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411604",
            "telephone_number": "954-420-5273",
            "fax_number": "954-420-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR FRIENDLY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "WISEBERG",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "954-420-5273"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "24627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5703067",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Friendly Pharmacy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.