Pharmacanna LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PHARMACANNA LLC

Practice address

3141 Fortune Way Ste 11
Wellington, FL 33414-8788

Phone

(870) 888-0627

Fax

(870) 888-0627

NPI assigned

Nov 6, 2026

Last updated

Nov 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rafael Jimenez

Title

Ambr

Phone

(870) 888-0627

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1793923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793923200000",
    "number": "1922908722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 WESTPARK DR STE 98449",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770636420",
            "telephone_number": "870-888-0627",
            "fax_number": "870-888-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 FORTUNE WAY STE 11",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148788",
            "telephone_number": "870-888-0627",
            "fax_number": "870-888-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACANNA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-06",
        "last_updated": "2026-11-06",
        "certification_date": "2026-11-06",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "870-888-0627"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.