SOUTH BROWARD HOSPITAL DISTRICT (NPI# 1275864670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275864670 |
| Entity Type | Organization |
| Organization Name | SOUTH BROWARD HOSPITAL DISTRICT |
| Other Organization Name | MEMORIAL HALLANDALE PHARMACY |
| Practice Address |
1750 E Hallandale Beach Blvd Suite A Hallandale Beach FL 33009-4611 |
| Practice Telephone | 9542769800 |
| Practice Fax Number | 9544562680 |
| Mailing Telephone | 9542769800 |
| Mailing Fax Number | 9544562680 |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2019-09-11 |
| Authorized Official Name | KEN HERTLAGE (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 9542652995 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH24363 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004668200 | 05 | |
| PK | 2123984 | 01 |
| Other Name | Type Code |
|---|---|
| MEMORIAL HALLANDALE PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386297513 | South Broward Hospital District | Clinic/Center | 7369 Sheridan St Ste 302b, Hollywood, FL 33024-2776 | 2019-07-17 |
| 1598321051 | South Broward Hospital District | Internal Medicine | 7369 Sheridan St Ste 302, Hollywood, FL 33024-2776 | 2019-05-10 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1821538505 | South Broward Hospital District | Pharmacy | 9571 Premier Pkwy, Miramar, FL 33025-3206 | 2017-03-01 |
| 1245656792 | South Broward Hospital District | Clinical Neuropsychologist | 3600 Washington St Ste 1005, Hollywood, FL 33021-8216 | 2014-03-07 |
| 1043656614 | South Broward Hospital District | Pharmacy | 9579 Premier Pkwy, Miramar, FL 33025-3206 | 2013-05-22 |
| 1205270907 | South Broward Hospital District | Neurological Surgery | 4650 Sheridan St, Suite 150, Hollywood, FL 33021 | 2013-04-24 |
| 1780027870 | South Broward Hospital District | Physical Medicine & Rehabilitation | 4651 Sheridan Street, Suite 150, Hollywood, FL 33024 | 2013-04-09 |
| 1790076115 | South Broward Hospital District | Pediatrics | 1131 N 35th Ave Ste 220, Hollywood, FL 33021-5403 | 2011-04-20 |
| 1790867133 | South Broward Hospital District | General Acute Care Hospital | 2900 Corporate Way, Miramar, FL 33025-3925 | 2006-10-19 |
| Street Address |
1750 E HALLANDALE BEACH BLVD SUITE A |
| City | HALLANDALE BEACH |
| State | FL |
| Zip Code | 33009-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679714950 | Lori Frisard | Family Medicine | 1750 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4611 | 2009-03-16 |
| 1093227837 | Zenaida Napoles | Pharmacist | 1750 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4611 | 2017-11-02 |
| 1992217434 | Mathew P Umman | Pharmacist | 1750 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4611 | 2017-10-24 |
| 1316458078 | Sharon Eliahu Marcus | Pharmacist | 1750 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4611 | 2017-10-20 |
| 1407367378 | Angelica Berni | Pharmacist | 1750 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4611 | 2017-10-19 |
| 1134469398 | Marta Gutierrez | Case Manager/Care Coordinator | 1750 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4611 | 2013-02-26 |
| 1073885042 | Memorial Healthcare System | Case Management | 1750 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4611 | 2012-02-06 |
| 1225311327 | Yenia Silva | Pharmacist | 1750 E Hallandale Beach Blvd, Suite B, Hallandale Beach, FL 33009-7403 | 2011-09-25 |
| 1962727917 | Leon Stephane Gedeon | Family Medicine | 1750 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4611 | 2010-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013499466 | Maia Powell | Doula | 634 Nw 4th Court, Hallandale Beach, FL 33009 | 2018-09-02 |
| 1578057188 | War Network LLC | Clinic/Center | 137 Se 1st Ave, Hallandale Beach, FL 33009 | 2018-06-18 |
| 1700378742 | Vip Cardiology Center LLC | Family Medicine | 2500 E Hallandale Beach Blvd Ste 207, Hallandale Beach, FL 33009 | 2018-06-05 |
| 1831681055 | Ssd Mobility, LLC | Durable Medical Equipment & Medical Supplies | 1000 W Pembrooke Rd, Suite 303, Hallandale Beach, FL 33009 | 2018-06-04 |
| 1366943466 | Imed Advisory LLC | General Practice | 2100 E Hallandale Beach Blvd Ste 402, Hallandale Beach, FL 33009 | 2018-02-23 |
| 1891164059 | Raphael Arwas | Dentist | 1440 E. Hallandale Beach Blvd, Hallandale, FL 33009 | 2015-09-17 |
| 1083092746 | Florida Good Faith Investors LLC. | Non-emergency Medical Transport (VAN) | 1001 N Federal Hwy,ste 246, Suite 349, Hallandale Beach, FL 33009 | 2015-05-14 |
| 1235534058 | Aventura Open Mri, Inc | Clinic/Center | 815 Se 1st Avenue, Suite B, Hallandale, FL 33009 | 2014-10-23 |
| 1437578549 | Beach Club Adult Center, LLC | Clinic/Center | 2500 Hallandale Blvd, Suite T, Hallandale Beach, FL 33009 | 2014-04-16 |
| 1093142747 | Grace Maher Reynolds | Internal Medicine | 1849 South Ocean Dr. Pts 911, Hallandale Beach, FL 33009 | 2013-09-26 |
| Find all providers in zip 33009 | ||||
| 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 |
|---|---|---|---|---|
| 1295381812 | Imperial Pharmacy LLC | Pharmacy | 100 N Federal Hwy Ste 100, Hallandale Beach, FL 33009-4373 | 2019-08-11 |
| 1376636050 | Cms Pharmacy Inc | Pharmacy | 327 E Hallandale Beach Blvd, Hallandale Beach, FL 33009 | 2006-10-02 |
| 1518974500 | Walgreen Co | Pharmacy | 509 W Hallandale Beach Blvd, Hallandale Beach, FL 33009-5343 | 2006-08-02 |
| 1720634801 | Best Organic Pharmacy | Pharmacy | 409 W Hallandale Beach Blvd Ste 417, Hallandale Beach, FL 33009-5301 | 2019-08-14 |
| 1104192335 | Rx Pro Pharmacy & Compounding, Inc | Pharmacy | 932 W Hallandale Beach Blvd, Hallandale Beach, FL 33009-5241 | 2012-04-02 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | HALLANDALE BEACH |
| Zip Code | 33009 |
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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.