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COMMCARE PHARMACY-FTL LLC NPI 1598762015


NPI Information

NPI: 1598762015
Provider Name: COMMCARE PHARMACY-FTL LLC
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
855 SW 78TH AVE
STE C100
PLANTATION, FL
ZIP 33324
Phone: (954) 568-6212
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COMMCARE PHARMACY-FTL LLC is a pharmacy in Plantation, FL. The provider is 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. COMMCARE PHARMACY-FTL LLC NPI is 1598762015. The provider is registered as an organization entity type.

The provider's business location address is:

855 SW 78TH AVE
STE C100
PLANTATION, FL
ZIP 33324-223
Phone: (954) 568-6212
Fax: (954) 568-2765

The provider's authorized official is Robert George Raffalo .
The authorized official title is C.o.o. and has the following contact phone number (954) 284-2384.

The enumeration date for this NPI number is 6/30/2005 and was last updated on 7/21/2022.


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
1333600000XPharmacyNRX0000870DISTRICT OF COLUMBIANo
2333600000XPharmacy054.016610ILLINOISNo
3333600000XPharmacyA9-0001012DELAWARENo
4333600000XPharmacy3817IOWANo
5333600000XPharmacyPH21660FLORIDANo
6333600000XPharmacy64000929AINDIANANo
7333600000XPharmacyPHNR000479GEORGIANo
8333600000XPharmacy897CONNECTICUTNo
9333600000XPharmacy22-44984KANSASNo
10333600000XPharmacyPMP591HAWAIINo
11333600000XPharmacy5788COLORADONo
12333600000XPharmacyY005081ARIZONANo
13333600000XPharmacyNRP1817CALIFORNIANo
14333600000XPharmacy2293MSIDAHONo
15333600000XPharmacy106493ALASKAYes

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
1691438100MEDICAIDFLORIDA
2031179101MEDICAIDFLORIDA
32010319OTHERPK
4031179100MEDICAIDFLORIDA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.