Jack P Herick Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH1149 Issued in FL

Legal business name

JACK P HERICK INC

Doing business as

Glades Drug

Practice address

109 S Lake Ave
Pahokee, FL 33476-1803

Phone

(561) 924-7701

Fax

(561) 924-9933

NPI assigned

Oct 14, 2005

Last updated

Oct 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terrence Myers, RPH

Title

President

Phone

(561) 924-7701

Specialties & licenses 2

Addresses

Other names 1

• GLADES DRUG Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory Brown

  • Pharmacist
  • Pahokee, FL
  • NPI 1457805335
  NPD (past)

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1881683795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S LAKE AVE",
            "city": "PAHOKEE",
            "state": "FL",
            "postal_code": "334761803",
            "telephone_number": "561-924-7701",
            "fax_number": "561-924-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S LAKE AVE",
            "city": "PAHOKEE",
            "state": "FL",
            "postal_code": "334761803",
            "telephone_number": "561-924-7701",
            "fax_number": "561-924-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK P HERICK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-924-7701",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH1149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLADES DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Pahokee, FL
• Providers in Pahokee, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.