Active NPI
Your Health Compounding Pharmacy, LLC
- Pharmacy
- Pompano Beach, FL
National Provider Identifier
1962940858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.