Active NPI
Skyemed Pharmacy Inc
- Specialty Pharmacy
- Pompano Beach, FL
National Provider Identifier
1821079880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- License
- PH17169
- Legal business name
- SKYEMED PHARMACY INC
- Practice address
- 1332 N Federal Hwy
Pompano Beach, FL 33062-3730 - Phone
- (954) 580-0170
- Fax
- (954) 960-6000
- NPI assigned
- Nov 8, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deepak Ranade, RPH
- Title
- President
- Phone
- (954) 580-0170
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | |||
| Specialty Pharmacy | 3336S0011X | |||
| Specialty Pharmacy | 3336S0011X | PH17169 | FL | Primary |
Addresses
Primary practice location
1332 N Federal Hwy
Pompano Beach, FL 33062-3730
Mailing address
PO Box 117070
Atlanta, GA 30368-7070
Phone (954) 580-0170
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021784100 | Medicaid | FL | |
| 021784101 | Medicaid | FL | |
| 2013306 | Other | PK |
Other names 1
- SKYEMED PHARMACY AND INFUSION SERVICES
National Provider Directory
National Provider DirectoryLocations
1332 N Federal Hwy
Pompano Beach, FL 33062
Phone (866) 778-8255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487635200000",
"number": "1821079880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 117070",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303687070",
"telephone_number": "954-580-0170",
"fax_number": "954-960-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1332 N FEDERAL HWY",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330623730",
"telephone_number": "954-580-0170",
"fax_number": "954-960-6000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKYEMED PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-08",
"last_updated": "2017-02-21",
"status": "A",
"authorized_official_last_name": "RANADE",
"authorized_official_first_name": "DEEPAK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-580-0170",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"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": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "FL",
"license": "PH17169",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021784100",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021784101",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2013306",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SKYEMED PHARMACY AND INFUSION SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.