Active NPI
Epic Care Pharmacy LLC
Doing business as Epic Care Pharmacy
- Community/Retail Pharmacy
- Pembroke Park, FL
National Provider Identifier
1952724510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH27411
- Legal business name
- EPIC CARE PHARMACY LLC
- Doing business as
- Epic Care Pharmacy
- Practice address
- 3948 Pembroke Rd Ste D
Pembroke Park, FL 33021-8114 - Phone
- (954) 963-2113
- Fax
- (954) 963-2199
- NPI assigned
- Jan 31, 2014
- 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
- Alvaneta Osbourne, PHARMACIST
- Title
- Owner
- Phone
- (954) 963-2113
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | |||
| Health Educator | 174H00000X | |||
| Clinical Laboratory Director (Non-physician) | 247ZC0005X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH27411 | FL | Primary |
Addresses
Primary practice location
3948 Pembroke Rd Ste D
Pembroke Park, FL 33021-8114
Mailing address
1002 NW 139TH Ter
Pembroke Pines, FL 33028-2340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2144977 | Other | PK |
Other names 1
- Epic Care Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180419002802 | FL | Part B Supplier - Pharmacy | 7618230921 | Practice locations: Pembroke Park, FL |
| O20200609002733 | FL | Part B Supplier - Independent Clinical Laboratory | 7618230921 | Practice locations: Pembroke Park, FL |
| O20200619001191 | FL | DME Supplier - Pharmacy | 7618230921 | Practice locations: Pembroke Park, FL |
| O20210322000709 | FL | MDPP Supplier - in-Person MDPP Supplier | 7618230921 |
1 other NPI on this enrollment Practice locations: Pembroke Park, FL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Epic Care Pharmacy LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Pembroke Park, FL
- NPI 1477299352
-
- Long Term Care Pharmacy
- Hollywood, FL
- NPI 1497573588
Locations
3948 Pembroke Rd
Ste D
Pembroke Park, FL 33021
Phone (954) 963-2113
Networks
- Freedom Health HMO Network
- HealthSun Health Plans Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724630400000",
"number": "1952724510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 NW 139TH TER",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330282340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3948 PEMBROKE RD STE D",
"city": "PEMBROKE PARK",
"state": "FL",
"postal_code": "330218114",
"telephone_number": "954-963-2113",
"fax_number": "954-963-2199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EPIC CARE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-31",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A",
"authorized_official_last_name": "OSBOURNE",
"authorized_official_first_name": "ALVANETA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-963-2113",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Diabetes Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "247ZC0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH27411",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2144977",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Epic Care Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Epic Care Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pembroke Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.