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GENESISCARE USA OF FLORIDA LLC NPI 1528423670


NPI Information

NPI: 1528423670
Provider Name: GENESISCARE USA OF FLORIDA LLC

Doing Business As: 21C PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 10D1006175

Address:
8991 BRIGHTON LN STE 200
BONITA SPRINGS, FL
ZIP 34135
Phone: (239) 333-1700
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GENESISCARE USA OF FLORIDA LLC is a pharmacy in Bonita Springs, FL. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. GENESISCARE USA OF FLORIDA LLC NPI is 1528423670. The provider is registered as an organization entity type.
The provider Is Doing Business As 21c Pharmacy.

The provider's business location address is:

8991 BRIGHTON LN STE 200
BONITA SPRINGS, FL
ZIP 34135-505
Phone: (239) 333-1700
Fax: (239) 333-0688

The provider's authorized official is Shaden Marzouk .
The authorized official title is President and has the following contact phone number (239) 931-7254.

The CLIA number assigned to this NPI record is 10D1006175 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/16/2015 and was last updated on 8/9/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyPH29594FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.