Organization Active NPI

Orange Tree Pharmacy Inc.

  • Pharmacy
  • Davie, FL
National Provider Identifier
1912413741
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
ORANGE TREE PHARMACY INC.
Practice address
6191 Orange Dr Ste 6177
Davie, FL 33314-3450
Phone
(954) 900-5174
Fax
(954) 900-5276
NPI assigned
Dec 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Authorized official

Name
Rourke Smith
Title
Owner
Phone
(954) 625-2773

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

6191 Orange Dr Ste 6177
Davie, FL 33314-3450

Mailing address

6191 Orange Dr Ste 6177
Davie, FL 33314-3450
Phone (954) 625-2773

National Provider Directory

National Provider Directory

Locations

6191 Orange Dr
Ste 6177
Davie, FL 33314
Phone (312) 810-2200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1912413741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6191 ORANGE DR STE 6177",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143450",
            "telephone_number": "954-625-2773",
            "fax_number": "954-625-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6191 ORANGE DR STE 6177",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143450",
            "telephone_number": "954-900-5174",
            "fax_number": "954-900-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE TREE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROURKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-625-2773"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.