Active NPI
Lurd'S Inc
- Community/Retail Pharmacy
- St Petersburg, FL
National Provider Identifier
1871749671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH23491
- Legal business name
- LURD'S INC
- Practice address
- 401 1St Ave N
St Petersburg, FL 33701-3802 - Phone
- (727) 803-6945
- Fax
- (727) 803-6947
- NPI assigned
- Aug 12, 2008
- 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
- Mardi Van Rensburg, RPH
- Title
- DME Officer
- Phone
- (727) 697-1090
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH23491 | FL | Primary |
Addresses
Primary practice location
401 1St Ave N
St Petersburg, FL 33701-3802
Mailing address
6551 Ridge Rd
Port Richey, FL 34668-6868
Phone (727) 494-7646
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00587400 | Medicaid | FL | |
| 2116817 | Other | PK |
Other names 1
- DOCTOR'S CHOICE PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Doctor'S Choice Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- New Port Richey, FL
- NPI 1841383288
Locations
6551 Ridge Rd
Port Richey, FL 34668
Phone (727) 844-0844
401 1st Ave N
St Petersburg, FL 33701
Phone (727) 317-3959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388361600000",
"number": "1871749671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6551 RIDGE RD",
"city": "PORT RICHEY",
"state": "FL",
"postal_code": "346686868",
"telephone_number": "727-494-7646",
"fax_number": "727-807-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 1ST AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337013802",
"telephone_number": "727-803-6945",
"fax_number": "727-803-6947"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LURD'S INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-12",
"last_updated": "2013-12-30",
"status": "A",
"authorized_official_last_name": "VAN RENSBURG",
"authorized_official_first_name": "MARDI",
"authorized_official_title_or_position": "DME OFFICER",
"authorized_official_telephone_number": "727-697-1090",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH23491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00587400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2116817",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DOCTOR'S CHOICE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.