Organization Active NPI

Charles Plaza Pharmacy Inc

  • Community/Retail Pharmacy
  • Lauderhill, FL
National Provider Identifier
1861700791
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH 24871 Issued in FL
Legal business name
CHARLES PLAZA PHARMACY INC
Doing business as
Charles Plaza Pharmacy, Inc
Practice address
5448 N University Dr
Lauderhill, FL 33351-5006
Phone
(954) 626-0626
Fax
(954) 626-0577
NPI assigned
Sep 14, 2010
Last updated
Feb 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Jatinkumar Patel
Title
President
Phone
(561) 876-7247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH 24871 FL Primary

Addresses

Primary practice location

5448 N University Dr
Lauderhill, FL 33351-5006

Mailing address

5448 N University Dr
Lauderhill, FL 33351-5006
Phone (954) 626-0626

Other identifiers 1

IdentifierTypeStateIssuer
5701708OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • CHARLES PLAZA PHARMACY, INC Doing business as

National Provider Directory

National Provider Directory

Locations

5448 N University Dr
Lauderhill, FL 33351
Phone (954) 626-0626

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1861700791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5448 N UNIVERSITY DR",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333515006",
            "telephone_number": "954-626-0626",
            "fax_number": "954-626-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5448 N UNIVERSITY DR",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333515006",
            "telephone_number": "954-626-0626",
            "fax_number": "954-626-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES PLAZA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JATINKUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-876-7247"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH 24871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5701708",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHARLES PLAZA PHARMACY, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.