Organization Active NPI

Pharmacy Medical Services Inc

  • Community/Retail Pharmacy
  • Plantation, FL
National Provider Identifier
1811933450
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH21749 Issued in FL
Legal business name
PHARMACY MEDICAL SERVICES INC
Practice address
201 NW 70TH Ave
Suite D-E
Plantation, FL 33317-2369
Phone
(954) 641-1448
Fax
(954) 641-1505
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Authorized official

Name
Jorge Basto, PHARMD
Title
Owner and President
Phone
(954) 581-7171

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X PH21749 FL Primary

Addresses

Primary practice location

201 NW 70TH Ave
Suite D-E
Plantation, FL 33317-2369

Mailing address

201 NW 70TH Ave
Suite D-E
Plantation, FL 33317-2369
Phone (954) 641-1448

Other identifiers 2

IdentifierTypeStateIssuer
031254100MedicaidFL
2005742OtherPK

Other names 1

  • PHARMACY MEDICAL SERVICES INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pharmacy Medical Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

201 NW 70th Ave
Ste De
Plantation, FL 33317
Phone (954) 641-1448

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": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1811933450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NW 70TH AVE",
            "address_2": "SUITE D-E",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172369",
            "telephone_number": "954-641-1448",
            "fax_number": "954-641-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NW 70TH AVE",
            "address_2": "SUITE D-E",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172369",
            "telephone_number": "954-641-1448",
            "fax_number": "954-641-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "BASTO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER AND PRESIDENT",
        "authorized_official_telephone_number": "954-581-7171",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH21749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031254100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2005742",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMACY MEDICAL SERVICES INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.