Organization Active NPI

Dave Pharmacy LLC

  • Community/Retail Pharmacy
  • Boynton Beach, FL
National Provider Identifier
1841514346
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH24540 Issued in FL
Legal business name
DAVE PHARMACY LLC
Practice address
1313 W Boynton Beach Blvd
Boynton Beach, FL 33426-3436
Phone
(954) 263-1514
NPI assigned
Mar 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
Rakhi Dave
Title
Manager
Phone
(954) 263-1514

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PH24540 FL
Community/Retail Pharmacy 3336C0003X PH24540 FL Primary

Addresses

Primary practice location

1313 W Boynton Beach Blvd
Boynton Beach, FL 33426-3436

Mailing address

5902 Abbey Rd
Tamarac, FL 33321-4110
Phone (954) 263-1514

Other identifiers 2

IdentifierTypeStateIssuer
1055107OtherNCPDP
PH24540OtherFLSTATE LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1841514346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5902 ABBEY RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214110",
            "telephone_number": "954-263-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 W BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263436",
            "telephone_number": "954-263-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "DAVE",
        "authorized_official_first_name": "RAKHI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-263-1514"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PH24540",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1055107",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PH24540",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.