COREHEALTH PHARMACY INC NPI 1992263990

NPI Information

  • NPI: 1992263990
  • Provider Name: COREHEALTH PHARMACY INC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • CLIA Number: 10D2183988
  • Address: 11260 PINES BLVD
    PEMBROKE PINES, FL
    ZIP 33026
  • Phone: (954) 450-8873

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NPI Details

COREHEALTH PHARMACY INC is a long term care pharmacy pharmacy in Pembroke Pines, 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, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. COREHEALTH PHARMACY INC NPI is 1992263990. The provider is registered as an organization entity type.

The provider's business location address is:

11260 PINES BLVD
PEMBROKE PINES, FL
ZIP 33026-101
Phone: (954) 450-8873

The provider's authorized official is Chizoba Ezenwa .
The authorized official title is Owner, Manager and has the following contact phone number (954) 864-1682.

The CLIA number assigned to this NPI record is 10D2183988 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2019 and was last updated on 10/22/2025.

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
13336L0003XPharmacyLong Term Care PharmacyYes

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
1005633400MEDICAIDFLORIDA

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: 11/21/2025

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