MEMORIAL PRIMARY CARE PHARMACY
NPI 1164562211
Pharmacy - Clinic Pharmacy in Hollywood, FL

Q: What is South Broward Hospital District's NPI number?

The NPI number for South Broward Hospital District is 1164562211. It was assigned to this organization in the NPPES registry on February 7, 2007. The provider is doing business as Memorial Primary Care Pharmacy.

Q: What is South Broward Hospital District's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Active since February 07, 2007CLIA 10D0896757 · Waiver

4105 PEMBROKE RD, HOLLYWOOD, FL 33021(954) 985-4837 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 12, 2021, Aug 22, 2020 (2 updates tracked since 2020).

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About Memorial Primary Care Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEMORIAL PRIMARY CARE PHARMACY (NPI 1164562211) is a healthcare organization registered as a clinic pharmacy in Hollywood, Florida and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 30, 2027 and lists Leah Carpenter, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1164562211

Entity TypeOrganization

Primary Taxonomy3336C0002X

Legal Business NameSOUTH BROWARD HOSPITAL DISTRICT

Location Address4105 PEMBROKE RDHollywood, FL 33021-8103

Mailing Address4105 Pembroke RdHollywood, FL 33021-8103 · (954) 985-4837

Phone(954) 985-4837

Organization SubpartNo

Authorized OfficialLeah CarpenterExecutive Vice President · (954) 265-2995

Enumeration DateFebruary 7, 2007

Last NPPES UpdateOctober 12, 20212 updates tracked since enumeration

NPPES CertifiedOctober 12, 2021

✔ NPI 1164562211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers

Taxonomy Code3336C0002X

Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

4105 PEMBROKE RD, Hollywood, FL 33021

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Other Names 1

Doing Business AsMemorial Primary Care Pharmacy

Other Identifiers 1

Other1020938FL · Nabp

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0896757

Memorial Primary Care Center · Hollywood, FL

Active · expires Aug 30, 2027

CLIA Number10D0896757

Laboratory TypePhysician Office

Certificate Effective DateAugust 31, 2025

Certificate Expiration DateAugust 30, 2027

Laboratory DirectorLaura London-Weaver

Laboratory Phone(954) 265-8100

Laboratory LocationMemorial Primary Care Center4105 Pembroke Road, Hollywood, FL 33021

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHEERIDA ANN HOSEIN MOHAMMED PHARMD

Pharmacist (Pharmacotherapy)