Pharmcore Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH19163 Issued in FL

Legal business name

PHARMCORE INC

Doing business as

Hallandale Pharmacy

Practice address

1109 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4431

Phone

(954) 455-3822

Fax

(954) 455-3835

NPI assigned

Jun 9, 2006

Last updated

Sep 13, 2013By 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

Gennady Krupnikas, B.S.

Title

President

Phone

(954) 455-3822

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• HALLANDALE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1902847866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 E HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094431",
            "telephone_number": "877-540-4748",
            "fax_number": "801-716-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 E HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094431",
            "telephone_number": "954-455-3822",
            "fax_number": "954-455-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMCORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "KRUPNIKAS",
        "authorized_official_first_name": "GENNADY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-455-3822",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH19163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2015453",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026012600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026012601",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HALLANDALE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Hallandale Beach, FL
• Providers in Hallandale 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 Sep 13, 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.