EASTPORT PHARMACY LLC (NPI# 1316346620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316346620 |
| Entity Type | Organization |
| Organization Name | EASTPORT PHARMACY LLC |
| Other Organization Name | EASTPORT PHARMACY |
| Practice Address |
8972 S Us Highway 1 Port St Lucie FL 34952-3403 |
| Practice Telephone | 7728007267 |
| Practice Fax Number | 7728007265 |
| Mailing Telephone | 7728007267 |
| Mailing Fax Number | 7728007265 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2015-02-26 |
| Authorized Official Name | HASSAN BAZZI (OWNER, MGR, PIC) |
| Authorized Official Telephone | 7723241512 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH28441 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 013952500 | 05 | |
| PK | 2146100 | 01 |
| Other Name | Type Code |
|---|---|
| EASTPORT PHARMACY | Doing Business As Name - Organization |
| Street Address |
8972 S US HIGHWAY 1 |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34952-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
| 1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
| 1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
| 1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
| 1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
| 1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
| 1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
| Find all providers in zip 34952 | ||||
| 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 |
|---|---|---|---|---|
| 1548650088 | Clover Pharmacy Inc | Pharmacy | 259-357 Se Port St Lucie Blvd, Port St Lucie, FL 34952 | 2015-02-04 |
| 1427489939 | Remed Pharmacy | Pharmacy | 10163 S Us Highway 1, Port St Lucie, FL 34952-5610 | 2013-12-09 |
| 1629371679 | Pappy's Drugs, Inc | Pharmacy | 889 E Prima Vista Blvd, Port St Lucie, FL 34952-2342 | 2010-12-14 |
| 1790863066 | Value Health Consultants | Pharmacy | 1707 Nw Saint Lucie West Blvd Ste 166, Port St Lucie, FL 34986-2520 | 2006-11-02 |
| 1831293810 | Holiday Cvs LLC | Pharmacy | 9197 S Us Highway 1, Port St Lucie, FL 34952-3405 | 2006-09-12 |
| 1225132103 | Holiday Cvs LLC | Pharmacy | 2873 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-2884 | 2006-09-12 |
| 1245247238 | Walgreen Co | Pharmacy | 9000 S Us Highway 1, Port St Lucie, FL 34952-3408 | 2006-08-02 |
| 1407365513 | Martin Memorial Physicians Corp | Pharmacy | 10080 Sw Innovation Way Ste 102, Port St Lucie, FL 34987-2129 | 2017-09-21 |
| 1427487396 | Walmart Pharmacy | Pharmacy | 1675 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-2106 | 2013-11-01 |
| 1215219241 | Walgreens | Pharmacy | 1661 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-2106 | 2011-09-15 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34952 |
Please comment or provide details below to improve the information on EASTPORT PHARMACY LLC.
| 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.