SKNV Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SKNV PHARMACY, LLC

Practice address

3155 SW 10TH St Ste 6a
Deerfield Beach, FL 33442-5900

Phone

(888) 210-8111

NPI assigned

May 15, 2023

Last updated

May 15, 2023By 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

Jonathan Fenster

Title

President

Phone

(888) 210-8111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1962193607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 SW 10TH ST STE 6A",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334425900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 SW 10TH ST STE 6A",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334425900",
            "telephone_number": "888-210-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKNV PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "FENSTER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-210-8111"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Te'Keilia Sinquefield
• Kelley Sintes
• Samantha Sircar
• Kenneth Siviter
• Erin Jessica Sizemore
• Paulina Helen Skorish
• Lyndsay Skully
• Courtney Nicole Slabaugh
• Latonya Denise Slade
• Andrew Slater

• Community/Retail Pharmacy in Deerfield Beach, FL
• Providers in Deerfield Beach, 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 May 15, 2023; 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.