Patriot Discount Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH25041 Issued in FL

Legal business name

PATRIOT DISCOUNT PHARMACY

Practice address

10071 Pines Blvd
Unit D
Pembroke Pines, FL 33024-6181

Phone

(561) 734-2022

NPI assigned

Nov 22, 2010

Organization subpart

No

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

Authorized official

Name

Ronnie Halfacre

Title

D

Phone

(561) 734-2002

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1881996924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10071 PINES BLVD",
            "address_2": "UNIT D",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246181",
            "telephone_number": "561-734-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10071 PINES BLVD",
            "address_2": "UNIT D",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246181",
            "telephone_number": "561-734-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT DISCOUNT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "HALFACRE",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "D",
        "authorized_official_telephone_number": "561-734-2002"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH25041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.