Active NPI
Optimal Health Pharmacy of Sistrunk LLC
- Pharmacy
- Fort Lauderdale, FL
National Provider Identifier
1912857319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- OPTIMAL HEALTH PHARMACY OF SISTRUNK LLC
- Practice address
- 1409 Sistrunk Blvd.
105
Fort Lauderdale, FL 33311 - Phone
- (305) 705-4024
- Fax
- (786) 758-2005
- NPI assigned
- Feb 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen Denise Harris, PHARM D
- Title
- Owner/Pharmacist in Charge
- Phone
- (305) 705-4024
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
1409 Sistrunk Blvd.
105
Fort Lauderdale, FL 33311
Mailing address
17235 NW 27TH Ave
Miami Gardens, FL 33056-4418
National Provider Directory
National Provider DirectoryLocations
1409 W Sistrunk Blvd
#105
Fort Lauderdale, FL 33311
Phone (305) 705-4024
17235 NW 27th Ave
Miami Gardens, FL 33056
Phone (305) 705-4024
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Sunrise, FL
- NPI 1366882128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770076800000",
"number": "1912857319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17235 NW 27TH AVE",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330564418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 SISTRUNK BLVD.",
"address_2": "105",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33311",
"telephone_number": "305-705-4024",
"fax_number": "786-758-2005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMAL HEALTH PHARMACY OF SISTRUNK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-03",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "KRISTEN",
"authorized_official_middle_name": "DENISE",
"authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "305-705-4024",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.