Organization Active NPI

Goodpill Pharmacy, Inc

  • Community/Retail Pharmacy
  • Pembroke Pines, FL
National Provider Identifier
1811269574
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH25875 Issued in FL
Legal business name
GOODPILL PHARMACY, INC
Practice address
17177 Pines Blvd
Pembroke Pines, FL 33027-1091
Phone
(754) 201-3663
Fax
(754) 201-3668
NPI assigned
Jan 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Authorized official

Name
Angel Mary John
Title
President
Phone
(754) 201-3663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH25875 FL Primary

Addresses

Primary practice location

17177 Pines Blvd
Pembroke Pines, FL 33027-1091

Mailing address

17177 Pines Blvd
Pembroke Pines, FL 33027-1091
Phone (754) 201-3663

National Provider Directory

National Provider Directory

Locations

17177 Pines Blvd
Pembroke Pines, FL 33027
Phone (754) 201-3663

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": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1811269574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17177 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271091",
            "telephone_number": "754-201-3663",
            "fax_number": "754-201-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17177 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271091",
            "telephone_number": "754-201-3663",
            "fax_number": "754-201-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODPILL PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "754-201-3663"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.