Organization Active NPI

Azof Enterprises Inc

  • Community/Retail Pharmacy
  • Port St Lucie, FL
National Provider Identifier
1811294234
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PS34434 Issued in FL
Legal business name
AZOF ENTERPRISES INC
Practice address
1936 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5509
Phone
(772) 446-9284
Fax
(772) 807-1297
NPI assigned
Feb 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Azubike Ofokansi
Title
Pharmacy Manager
Phone
(772) 233-6550

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PH25218 FL
Pharmacy 333600000X PH25218 FL
Community/Retail Pharmacy 3336C0003X PS34434 FL Primary

Addresses

Primary practice location

1936 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5509

Mailing address

1936 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5509
Phone (772) 446-9284

National Provider Directory

National Provider Directory

Locations

1870 SE Port St Lucie Blvd
Port Saint Lucie, FL 34952
Phone (772) 446-9284

1936 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 446-9284

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": "1298246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1811294234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525509",
            "telephone_number": "772-446-9284",
            "fax_number": "772-807-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525509",
            "telephone_number": "772-446-9284",
            "fax_number": "772-807-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZOF ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-21",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "OFOKANSI",
        "authorized_official_first_name": "AZUBIKE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "772-233-6550"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PH25218",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH25218",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PS34434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.