PARK SHORE DRUG INC NPI 1982653523

NPI Information

NPI: 1982653523
Provider Name: PARK SHORE DRUG INC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
600 ANSIN BLVD
HALLANDALE BEACH, FL
ZIP 33009
Phone: (954) 874-4646
Get Directions

PARK SHORE DRUG INC is a long term care pharmacy pharmacy in Hallandale Beach, FL. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PARK SHORE DRUG INC NPI is 1982653523. The provider is registered as an organization entity type.

The provider's business location address is:

600 ANSIN BLVD
HALLANDALE BEACH, FL
ZIP 33009-118
Phone: (954) 874-4646
Fax: (954) 455-1378

The provider's authorized official is Robert D Gillis .
The authorized official title is Pharmacist, President and has the following contact phone number (954) 874-4646.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 12/5/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		PH13376	FLORIDA	No
2	3336L0003X	Pharmacy	Long Term Care Pharmacy	PH13376	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P1723B	OTHER	FLORIDA	MEDICARE LOCAL CARRIER #/PTAN
2	018477700	MEDICAID	FLORIDA
3	018477701	OTHER	FLORIDA	DME, MEDICAID PHARMACY
4	1011915	OTHER	FLORIDA	NCPDP #
5	018614500	MEDICAID	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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