Organization Active NPI

White Tip Pharmacy LLC

  • Community/Retail Pharmacy
  • Deerfield Beach, FL
National Provider Identifier
1790303394
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WHITE TIP PHARMACY LLC
Practice address
411 S Federal Hwy Ste D
Deerfield Beach, FL 33441-4170
Phone
(954) 531-0211
NPI assigned
Jul 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Authorized official

Name
Ivan Ashley Ferguson
Title
Owner
Phone
(954) 531-0211

Specialties & licenses 1

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

Addresses

Primary practice location

411 S Federal Hwy Ste D
Deerfield Beach, FL 33441-4170

Mailing address

411 S Federal Hwy Ste D
Deerfield Beach, FL 33441-4170

National Provider Directory

National Provider Directory

Locations

411 S Federal Hwy
Ste D
Deerfield Beach, FL 33441
Phone (561) 375-4514

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1790303394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S FEDERAL HWY STE D",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S FEDERAL HWY STE D",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414170",
            "telephone_number": "954-531-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE TIP PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-531-0211"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 21, 2022; 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.