Gordium RX, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PA9108944 Issued in FL

Legal business name

GORDIUM RX, LLC

Practice address

4723 W Atlantic Ave Ste 2
Delray Beach, FL 33445-3865

Phone

(561) 562-0674

Fax

(561) 265-5673

NPI assigned

Aug 30, 2016

Organization subpart

No

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

Authorized official

Name

Arpana Shivdasani, P.A.

Title

Physicians Assistant

Phone

(561) 562-0674

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1902352958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4723 W ATLANTIC AVE STE 2",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453865",
            "telephone_number": "561-562-0674",
            "fax_number": "561-265-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4723 W ATLANTIC AVE STE 2",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453865",
            "telephone_number": "561-562-0674",
            "fax_number": "561-265-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDIUM RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "SHIVDASANI",
        "authorized_official_first_name": "ARPANA",
        "authorized_official_title_or_position": "PHYSICIANS ASSISTANT",
        "authorized_official_telephone_number": "561-562-0674",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PA9108944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Savieira Goodman, MD
• Steven I Goodman, M.D.
• Beatriz Gordillo
• Gordium Medical Services
• Gordium Mental Health
• Gordium Trauma Recovery, LLC
• Nicanda Norrie Gordon, MD
• Ryan Michael Gore
• Roger Shelley Gorman, MD
• Valeria Gorosabel, DAOM

• Community/Retail Pharmacy in Delray Beach, FL
• Providers in Delray Beach, 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 Aug 30, 2016; 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.