Organization Active NPI

Hybrid Pharma LLC

  • Specialty Pharmacy
  • Deerfield Beach, FL
National Provider Identifier
1922351436
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
PH26436 Issued in FL
Legal business name
HYBRID PHARMA LLC
Practice address
1015 W Newport Center Dr Ste 106a
Deerfield Beach, FL 33442-7707
Phone
(954) 708-2771
Fax
(561) 542-6791
NPI assigned
Oct 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Authorized official

Name
Dr. Ponswamy Rajalingam
Title
President
Phone
(954) 708-2771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X PH26436 FL Primary

Addresses

Primary practice location

1015 W Newport Center Dr Ste 106a
Deerfield Beach, FL 33442-7707

Mailing address

1015 W Newport Center Dr Ste 106a
Deerfield Beach, FL 33442-7707
Phone (954) 708-2771

National Provider Directory

National Provider Directory

Locations

1015 W Newport Center Dr
Ste 106A
Deerfield Beach, FL 33442
Phone (954) 708-2771

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1922351436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 W NEWPORT CENTER DR STE 106A",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427707",
            "telephone_number": "954-708-2771",
            "fax_number": "561-542-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 W NEWPORT CENTER DR STE 106A",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427707",
            "telephone_number": "954-708-2771",
            "fax_number": "561-542-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYBRID PHARMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "RAJALINGAM",
        "authorized_official_first_name": "PONSWAMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-708-2771",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "FL",
            "license": "PH26436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.