Active NPI
Pharmacy at Abacoa, Inc.
- Community/Retail Pharmacy
- Jupiter, FL
National Provider Identifier
1881138469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- PHARMACY AT ABACOA, INC.
- Practice address
- 1155 Main St Ste 109
Jupiter, FL 33458-5264 - Phone
- (561) 630-3770
- Fax
- (561) 630-3771
- NPI assigned
- Dec 15, 2016
- 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
- Irina Spivak
- Title
- Owner
- Phone
- (561) 630-3770
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1155 Main St Ste 109
Jupiter, FL 33458-5264
Mailing address
PO Box 912
Jupiter, FL 33468-0912
Phone (561) 630-3770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2166791 | Other | PK |
Other names 1
- A&R Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211115002208 | FL | DME Supplier - Medical Supply Company | 5991194870 | Practice locations: Jupiter, FL |
National Provider Directory
National Provider Directory- Tax ID family
- Ar Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Jupiter, FL
- NPI 1093222622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765324800000",
"number": "1881138469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 912",
"city": "JUPITER",
"state": "FL",
"postal_code": "334680912",
"telephone_number": "561-630-3770",
"fax_number": "561-630-3771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 MAIN ST STE 109",
"city": "JUPITER",
"state": "FL",
"postal_code": "334585264",
"telephone_number": "561-630-3770",
"fax_number": "561-630-3771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMACY AT ABACOA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-15",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A",
"authorized_official_last_name": "SPIVAK",
"authorized_official_first_name": "IRINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-630-3770"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2166791",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "A&R Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.