Organization Active NPI

Your Health Compounding Pharmacy, LLC

  • Pharmacy
  • Pompano Beach, FL
National Provider Identifier
1962940858
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
YOUR HEALTH COMPOUNDING PHARMACY, LLC
Practice address
1000 E Atlantic Blvd
#110
Pompano Beach, FL 33060-7479
Phone
(954) 366-6519
NPI assigned
Feb 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Authorized official

Name
Clarence McMillan Jr., PHARMD
Title
Owner
Phone
(954) 366-6519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X FL Primary

Addresses

Primary practice location

1000 E Atlantic Blvd
#110
Pompano Beach, FL 33060-7479

Mailing address

1000 E Atlantic Blvd
#110
Pompano Beach, FL 33060-7479
Phone (954) 366-6519

National Provider Directory

National Provider Directory

Locations

1000 E Atlantic Blvd
Ste 110
Pompano Beach, FL 33060
Phone (954) 366-6519

NPI Registry JSON

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1962940858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E ATLANTIC BLVD",
            "address_2": "#110",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607479",
            "telephone_number": "954-366-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E ATLANTIC BLVD",
            "address_2": "#110",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607479",
            "telephone_number": "954-366-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR HEALTH COMPOUNDING PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-366-6519",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.