SOUTH BROWARD HOSPITAL DISTRICT (NPI# 1649601964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649601964 |
| Entity Type | Organization |
| Organization Name | SOUTH BROWARD HOSPITAL DISTRICT |
| Other Organization Name | MEMORIAL WEST OUTPATIENT PHARMACY |
| Practice Address |
601 North Flamingo Road Suite 110 Pembroke Pines FL 33028-1006 |
| Practice Telephone | 9548446280 |
| Practice Fax Number | 9548446286 |
| Mailing Telephone | 9548446280 |
| Mailing Fax Number | 9548446286 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2019-09-11 |
| Authorized Official Name | KEN HERTLAGE (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 9542652295 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH16658 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010978900 | 05 |
| Other Name | Type Code |
|---|---|
| Memorial West Outpatient 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 |
601 NORTH FLAMINGO ROAD SUITE 110 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33028-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356516835 | Jorge L Barros Md Pa | Non-Pharmacy Dispensing Site | 601 North Flamingo Road, Suite 108, Pembroke Pines, FL 33028 | 2008-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570276 | Grace Olivine Lue | Nurse Practitioner | 2291 Nw 171 Terrace, Pembroke Pines, FL 33028 | 2018-09-02 |
| 1336658194 | Edna Daniel | Registered Nurse | 16213 Nw 18th Street, Pembroke Pines, FL 33028 | 2017-09-25 |
| 1093257032 | Carlos Eduardo Florian Jr. | Physical Therapist | 701 North Flamingo Road, Pembroke Pines, FL 33028 | 2016-11-08 |
| 1760868574 | Clara Elisa Delgado | Nurse Practitioner | 601 N Flamingo Road Suite 105, Pembroke Pines, FL 33028 | 2015-08-04 |
| 1942614375 | Emmanuel Magboo | Physical Therapist | 1563 Nw 159 Lane, Pembroke Pines, FL 33028 | 2014-06-13 |
| 1134546302 | Tahnie Danastor | Obstetrics & Gynecology | 601 N Flamingo Rd Ste 307, Pembroke Pines, FL 33028 | 2014-03-25 |
| 1316388200 | Mirella Silva-bass | Counselor | 2250 Nw 136 Ave # 100f, Pembroke Pines, FL 33028 | 2013-07-09 |
| 1932447364 | Grazia Oropesa | Nurse Practitioner | 12824 Nw 21st St, Pembroke Pines, FL 33028 | 2013-01-18 |
| 1548545320 | Rita Galliano | Speech-Language Pathologist | 1261 Nw 141st Ave, Pembroke Pines, FL 33028 | 2011-10-12 |
| 1033429949 | Paulette Paul | Registered Nurse | 15575 N.w. 12th Court, Pembroke Pines, FL 33028 | 2010-10-13 |
| Find all providers in zip 33028 | ||||
| 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 |
|---|---|---|---|---|
| 1033723127 | Five Pillars Corporation | Pharmacy | 2301 N University Dr Ste 112, Pembroke Pines, FL 33024-3617 | 2020-09-04 |
| 1063069607 | Easyscripts LLC | Pharmacy | 1500 S Hiatus Rd, Pembroke Pines, FL 33025-3617 | 2019-08-19 |
| 1730731449 | Physician Family Pharmacy Corp | Pharmacy | 9716 Pines Blvd, Pembroke Pines, FL 33024-6228 | 2019-07-12 |
| 1255787313 | Links Pharmacy and Discount Inc | Pharmacy | 7131 Pembroke Road, Pembroke Pines, FL 33023 | 2016-05-09 |
| 1205281458 | Lincoln Pharmacy LLC | Pharmacy | 21011 Johnson St, Suite# 126, Pembroke Pines, FL 33029-1913 | 2016-04-25 |
| 1649635178 | Pharm-aid LLC | Pharmacy | 12117 Pembroke Rd, Pembroke Pines, FL 33025-1727 | 2015-12-29 |
| 1275909327 | Taft Street Pharmacy | Pharmacy | 7750 Taft St, Pembroke Pines, FL 33024-5271 | 2015-08-12 |
| 1861873119 | Pharmacorp Lameiro Inc | Pharmacy | 9155 Taft St, Pembroke Pines, FL 33024-4652 | 2015-06-12 |
| 1033463542 | Elite Care Pharmacy Corp | Pharmacy | 19112 Nw 23rd Ct, Pembroke Pines, FL 33029-5335 | 2012-11-06 |
| 1811269574 | Goodpill Pharmacy, Inc | Pharmacy | 17177 Pines Blvd, Pembroke Pines, FL 33027-1091 | 2012-01-27 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33028 |
Please comment or provide details below to improve the information on SOUTH BROWARD HOSPITAL DISTRICT.
| 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.