New Life Pharmacy & Medical Supply Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

NEW LIFE PHARMACY & MEDICAL SUPPLY INC

Practice address

11200 SW Village Pkwy Ste 100
Port St Lucie, FL 34987-2383

Phone

(772) 877-1125

NPI assigned

Apr 23, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Ricardo Reid, PHARM.DNPI 1558708594

Title

Pharmacist in Charge

Phone

(305) 766-3392

Specialties & licenses 1

Addresses

Tax ID family

New Life Pharmacy Medical Supply2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• New Life Pharmacy & Medical Supply Inc

  • Community/Retail Pharmacy
  • Port Saint Lucie, FL
  • NPI 1659830487
  NPD tax ID

Practitioners 1

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

• Ricardo Reid, PHARMD

  • Pharmacist
  • Port St Lucie, FL
  • NPI 1558708594
  NPD Authorized official

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1922628544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 SW VILLAGE PKWY STE 100",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872383",
            "telephone_number": "772-877-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 SW VILLAGE PKWY STE 100",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872383",
            "telephone_number": "772-877-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE PHARMACY & MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "305-766-3392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Family Beginnings LLC
• New Leaf Mental Health Care
• New Life Addiction Treatment Center
• New Life Assisted Living, Inc.
• New Life Imaging Inc
• Jodi B Newman, RD
• Nexgen Lab, LLC
• Next Level Care LLC
• Next Level Wellness Center
• Ney F Andujar, M.D. PA

• Long Term Care Pharmacy in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Long Term Care Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.