HEALTH CARE DISTRICT OF PALM BEACH COUNTY (NPI# 1104045012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104045012 |
Entity Type | Organization |
Organization Name | HEALTH CARE DISTRICT OF PALM BEACH COUNTY |
Practice Address |
1250 Southwinds Dr Lantana FL 33462-1459 |
Mailing Address |
1515 N Flagler Dr Ste 101 West Palm Beach FL 33401-3429 |
Practice Telephone | 5612092575 |
Practice Fax Number | 8442066437 |
Mailing Telephone | 5616591270 |
Mailing Fax Number | 5617336663 |
Enumeration Date | 2007-04-25 |
Last Update Date | 2020-03-10 |
Authorized Official Name | DARCY DAVIS (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 5618045885 |
Authorized Official Credential | PHARMD CPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH21939 | FL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 018379600 | 05 | |
PK | 2005980 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639399462 | Health Care District of Palm Beach County | Pharmacy | 1150 45th St., West Palm Beach, FL 33407 | 2007-04-26 |
1851510762 | Health Care District of Palm Beach County | Pharmacy | 39200 Hooker Hwy Ste 101, Belle Glade, FL 33430-5368 | 2007-04-25 |
1073517504 | Health Care District of Palm Beach County | Ambulance | 4255 Southern Blvd, Bldg 1625-b, Suite 307, West Palm Beach, FL 33406-1415 | 2005-06-13 |
1487658985 | Health Care District of Palm Beach County | Skilled Nursing Facility | 5101 W. Blue Heron Blvd., Riviera Beach, FL 33418-7831 | 2005-06-13 |
1952816365 | Health Care District of Palm Beach County | Internal Medicine | 5101 W Blue Heron Blvd, Riviera Beach, FL 33418 | 2017-12-07 |
1154836989 | Health Care District of Palm Beach County | Pharmacy | 23123 State Road 7 Ste 108, Boca Raton, FL 33428-5489 | 2017-12-01 |
1598270324 | Health Care District of Palm Beach County | Pharmacy | 411 W Indiantown Rd, Jupiter, FL 33458-3538 | 2017-12-01 |
1497122550 | Health Care District of Palm Beach County | Pharmacy | 7408 Lake Worth Rd, Suite 700-p, Lake Worth, FL 33467-2502 | 2015-08-25 |
1306237425 | Health Care District of Palm Beach County | Pharmacy | 3800 S Congress Ave, Suite 13, Boynton Beach, FL 33426-8424 | 2015-02-11 |
1407022601 | Health Care District of Palm Beach County | Surgery | 39200 Hooker Hwy, Belle Glade, FL 33430 | 2008-05-07 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | HEALTH CARE DISTRICT OF PALM BEACH COUNTY | 1515 N Flagler Dr Ste 101, West Palm Beach, FL 33401-3429 |
Street Address |
1250 SOUTHWINDS DR |
City | LANTANA |
State | FL |
Zip Code | 33462-1459 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568454015 | Stewart J Friedman | Obstetrics & Gynecology | 1250 Southwinds Dr, Lantana, FL 33462 | 2005-08-19 |
1003417296 | Irene Saharai Garcia | Dental Hygienist | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2020-11-04 |
1609475383 | Patrice G Petersen | Dental Hygienist | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2020-10-22 |
1922622521 | Christeena E Koshy | Nurse Practitioner | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2020-05-31 |
1881246296 | Marco Angelo Fernandez Sanchez | Nurse Practitioner | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2019-07-15 |
1093272973 | Melinda Pierre | Nurse Practitioner | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2019-02-27 |
1821553652 | Massiel Marie Perez | Counselor | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2019-02-06 |
1942782461 | Patricia Doreen Marshall Hohn | Nurse Practitioner | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2018-08-30 |
1053833210 | Arlene Lopez | Dental Hygienist | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2017-07-10 |
1679094734 | Elaine Esplin | Counselor | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2017-06-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
1760024988 | Woodelyne Marc | Home Health | 1307 Flamingo Dr, Lantan, FL 33462 | 2019-10-09 |
1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
1427548445 | Publix Super Markets, Inc. | Pharmacy | 262 S Ocean Blvd, Manalapan, FL 33462 | 2018-05-15 |
1629567474 | Perfection Rx LLC | Pharmacy | 3248 Lantana Rd, Lake Worth, FL 33462 | 2018-05-08 |
1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
1811427438 | Sonia Camille | Behavior Technician | 49 Sioux Ln, Lantana, FL 33462 | 2017-06-15 |
1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
Find all providers in zip 33462 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700139003 | Lantana Pharmacy | Pharmacy | 3206 Lantana Road, Lantana, FL 33462-2432 | 2012-10-24 |
1861596769 | Holiday Cvs LLC | Pharmacy | 1581 Lantana Rd, Lantana, FL 33462-1537 | 2006-09-12 |
1801906417 | Costco Wholesale Corporation | Pharmacy | 1873 W Lantana Rd, Lantana, FL 33462 | 2006-08-30 |
1750396065 | Walgreen Co | Pharmacy | 6975 S Congress Ave, Lantana, FL 33462-3799 | 2006-07-29 |
1841514460 | Divine Pharmacy and Healthcare LLC | Pharmacy | 6266 S Congress Ave, L-12, Lantana, FL 33462-2375 | 2010-03-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649871583 | Florida Community Health Centers, Inc. | Pharmacy | 9576 S Us Highway 1, Port Saint Lucie, FL 34952-4217 | 2020-11-06 |
1053911883 | Nrc Pharmd Inc | Pharmacy | 2700 Immokalee Rd Ste 24, Naples, FL 34110-1437 | 2020-10-30 |
1073112116 | Hl72 LLC | Pharmacy | 5193 Clark Rd, Sarasota, FL 34233-3213 | 2020-10-20 |
1689280851 | Unique Pharmacy Corp | Pharmacy | 7800 Sw 87th Ave Ste 210b, Miami, FL 33173-2537 | 2020-09-22 |
1033723127 | Five Pillars Corporation | Pharmacy | 2301 N University Dr Ste 112, Pembroke Pines, FL 33024-3617 | 2020-09-04 |
1780297655 | Healthy Living Pharmacy LLC | Pharmacy | 755 Rosemary Cir, Bradenton, FL 34212-5015 | 2020-08-28 |
1326651555 | Purformance Wellness Pharmacy LLC | Pharmacy | 600 Se Indian St Ste 3, Stuart, FL 34997-5540 | 2020-08-27 |
1043822620 | Specialtycarerx LLC | Pharmacy | 821 N Us Highway 1 Ste A, Ormond Beach, FL 32174-4528 | 2020-08-17 |
1831700855 | Kingsley Rx LLC | Pharmacy | 1542 Kingsley Ave Ste 142, Orange Park, FL 32073-4547 | 2020-08-13 |
1104435742 | Easyscripts LLC | Pharmacy | 2601 S Military Trl Ste 1, West Palm Beach, FL 33415-7509 | 2020-07-29 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.