Active NPI
Pill Box Pines West LLC
Doing business as Pill Box Pines West
- Community/Retail Pharmacy
- Pembroke Pines, FL
National Provider Identifier
1831538636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH26925
- Legal business name
- PILL BOX PINES WEST LLC
- Doing business as
- Pill Box Pines West
- Practice address
- 17503 Pines Blvd
Pembroke Pines, FL 33029-1519 - Phone
- (954) 443-7455
- Fax
- (954) 374-6263
- NPI assigned
- Jun 14, 2013
- Last updated
- Sep 19, 2025
- 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
- Barbara Sammarco
- Title
- Pharmacy Manager/Member
- Phone
- (954) 443-7455
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | PH26925 | FL | Primary |
Addresses
Primary practice location
17503 Pines Blvd
Pembroke Pines, FL 33029-1519
Mailing address
17503 Pines Blvd
Pembroke Pines, FL 33029-1519
Phone (954) 443-7455
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009056700 | Medicaid | FL | |
| 2140924 | Other | PK |
Other names 1
- Pill Box Pines West
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2235958 | Pill Box Pines West | Certificate of waiver | Sep 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
17503 Pines Blvd
Pembroke Pines, FL 33029
Phone (954) 443-7455
Networks
- Freedom Health HMO Network
- HealthSun Health Plans Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1831538636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17503 PINES BLVD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330291519",
"telephone_number": "954-443-7455",
"fax_number": "954-374-6263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17503 PINES BLVD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330291519",
"telephone_number": "954-443-7455",
"fax_number": "954-374-6263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PILL BOX PINES WEST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-14",
"last_updated": "2025-09-19",
"status": "A",
"authorized_official_last_name": "SAMMARCO",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "PHARMACY MANAGER/MEMBER",
"authorized_official_telephone_number": "954-443-7455"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH26925",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009056700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2140924",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pill Box Pines West",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.