Organization Active NPI

Lurd'S Inc

  • Community/Retail Pharmacy
  • St Petersburg, FL
National Provider Identifier
1871749671
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH23491 Issued in FL
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

Updated by the provider on Dec 30, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00587400MedicaidFL
2116817OtherPK

Other names 1

  • DOCTOR'S CHOICE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Doctor'S Choice Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.