Organization Active NPI

Harbour Bay Pharmacy LLC

  • Community/Retail Pharmacy
  • Stuart, FL
National Provider Identifier
1790273944
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HARBOUR BAY PHARMACY LLC
Practice address
3754 SE Ocean Blvd Ste B
Stuart, FL 34996
Phone
(844) 407-3681
Fax
(561) 529-3117
NPI assigned
Apr 24, 2018
Last updated
Oct 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Authorized official

Name
Linda Yun Yun
Title
Managing Member
Phone
(917) 757-3793

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

3754 SE Ocean Blvd Ste B
Stuart, FL 34996

Mailing address

3754 SE Ocean Blvd Ste B
Stuart, FL 34996-6700
Phone (844) 407-3681

Other identifiers 1

IdentifierTypeStateIssuer
2177002OtherPK

National Provider Directory

National Provider Directory

Locations

3754 SE Ocean Blvd
Ste B
Stuart, FL 34996
Phone (772) 600-8077

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1790273944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3754 SE OCEAN BLVD STE B",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349966700",
            "telephone_number": "844-407-3681",
            "fax_number": "561-529-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3754 SE OCEAN BLVD STE B",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34996",
            "telephone_number": "844-407-3681",
            "fax_number": "561-529-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOUR BAY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "YUN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "YUN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "917-757-3793"
    },
    "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": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.