Dna Pharmacy Services Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH20850 Issued in FL

Legal business name

DNA PHARMACY SERVICES INC

Doing business as

Palm Beach Compounding Pharmacy

Practice address

2151 S. Highway Alt. A1A, Suite 1500
Three Palms Center
Jupiter, FL 33477

Phone

(561) 741-1191

Fax

(561) 741-1193

NPI assigned

May 31, 2005

Organization subpart

No

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

Authorized official

Name

David Upson, BS PHARM

Title

Pic

Phone

(561) 741-1191

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• PALM BEACH COMPOUNDING PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1912900226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 S. HIGHWAY ALT. A1A, SUITE 1500",
            "address_2": "THREE PALMS CENTER",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33477",
            "telephone_number": "561-741-1191",
            "fax_number": "561-741-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 S. HIGHWAY ALT. A1A, SUITE 1500",
            "address_2": "THREE PALMS CENTER",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33477",
            "telephone_number": "561-741-1191",
            "fax_number": "561-741-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DNA PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "UPSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "561-741-1191",
        "authorized_official_credential": "BS PHARM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH20850",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2004039",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALM BEACH COMPOUNDING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Joseph Dimeo, DDS
• Marlene Dindyal
• Melissa Disbrow, ARNP
• Jennifer Disilvestro, LCSW
• District Clinic Holdings Inc
• Stephen Dodson, RNFA
• Melissa Doerzbacher, PTA
• Susan Margaret Doherty, P.T.
• Ruthe Dolcine
• Daniel Jacob Dolderer, M.D.

• Community/Retail Pharmacy in Jupiter, FL
• Providers in Jupiter, 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 Jun 21, 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.