Organization Active NPI

West Atlantic Pharmacy Incorporated

  • Community/Retail Pharmacy
  • Delray Beach, FL
National Provider Identifier
1841440682
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH23548 Issued in FL
Legal business name
WEST ATLANTIC PHARMACY INCORPORATED
Practice address
7495 W Atlantic Ave
Ste 206
Delray Beach, FL 33446-1393
Phone
(561) 496-0338
Fax
(561) 496-0832
NPI assigned
Sep 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Authorized official

Name
Amira (Amy) Melika-Shaker
Title
Owner/Pic
Phone
(561) 496-0338

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 0214001608 VA
Community/Retail Pharmacy 3336C0003X PH23548 FL Primary

Addresses

Primary practice location

7495 W Atlantic Ave
Ste 206
Delray Beach, FL 33446-1393

Mailing address

7495 W Atlantic Ave
Ste 206
Delray Beach, FL 33446-1393
Phone (561) 496-0338

Other identifiers 2

IdentifierTypeStateIssuer
000641500MedicaidFL
2117115OtherPK

Other names 1

  • Atlantic Pharmacy Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211210000884 FL Part B Supplier - Pharmacy 3678803442 Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory

Locations

7495 Atlantic Ave
Ste 206
Delray Beach, FL 33446
Phone (561) 496-0338

Practitioners & affiliated clinicians

Practitioners 4

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": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1841440682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7495 W ATLANTIC AVE",
            "address_2": "STE 206",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461393",
            "telephone_number": "561-496-0338",
            "fax_number": "561-496-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7495 W ATLANTIC AVE",
            "address_2": "STE 206",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461393",
            "telephone_number": "561-496-0338",
            "fax_number": "561-496-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ATLANTIC PHARMACY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "MELIKA-SHAKER",
        "authorized_official_first_name": "AMIRA (AMY)",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "561-496-0338"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0214001608",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000641500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117115",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Pharmacy Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.