MDP PRODUCTS AND SERVICES (NPI# 1063059673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063059673 |
| Entity Type | Organization |
| Organization Name | MDP PRODUCTS AND SERVICES |
| Practice Address |
6602 Stirling Rd Hollywood FL 33024-1954 |
| Mailing Address |
3151 W Atlantic Blvd Pompano Beach FL 33069-2565 |
| Practice Telephone | 9543716122 |
| Mailing Telephone | 9548385600 |
| Mailing Fax Number | 9548385601 |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |
| Authorized Official Name | MR. DAVE SINGH (OPERATIONS MANAGER) |
| Authorized Official Telephone | 9543716122 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE | PH32318 | 01 |
| Other Name | Type Code |
|---|---|
| Elite Rx | Doing Business As Name - Organization |
| Street Address |
6602 STIRLING RD |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33024-1954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568967560 | Bravo Drugs Two Inc | Pharmacy | 5920 Johnson St Ste 105, Hollywood, FL 33021-5652 | 2018-03-29 |
| 1982085767 | Guardian Pharmacy of Sc One LLC | Pharmacy | 4794a Highway 162, Hollywood, SC 29449-5740 | 2015-06-17 |
| 1164709663 | Polypill Compound Medications LLC | Pharmacy | 4401 Sheridan St Ste B, Hollywood, FL 33021-3513 | 2011-11-11 |
| 1982922241 | Apollo II Services Inc | Pharmacy | 2134 Tyler St, Hollywood, FL 33020-6717 | 2010-05-12 |
| 1235319211 | Navarro Discount Pharmacies No. 24 LLC | Pharmacy | 2323 N 60th Ave, Hollywood, FL 33021-3203 | 2007-11-07 |
| 1053437954 | Seminole Tribe of Florida | Pharmacy | 6401 Sheridan St, Hollywood, FL 33024-4138 | 2007-03-22 |
| 1437257466 | Jorviana Medical Supplies & Pharmacy, Inc | Pharmacy | 435 South State Road 7, Bay 12, Hollywood, FL 33023 | 2006-09-21 |
| 1912912551 | Sjt Corp | Pharmacy | 370-b S State Road 7, Hollywood, FL 33023 | 2006-07-30 |
| 1750322244 | Publix Super Markets Inc | Pharmacy | 1700 Sheridan St, Hollywood, FL 33020-2275 | 2006-06-08 |
| 1679538920 | O2 Etc., Inc. | Pharmacy | 111 S 21st Ave, Hollywood, FL 33020-4522 | 2006-04-19 |
| Find all providers in HOLLYWOOD | ||||
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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.