1. Home
  2. Directory
  3. Florida
  4. Ft Lauderdale
  5. Pharmacy
  6. NPI Profile

MYCELIUM PHARMACY LLC
NPI 1487252391
Pharmacy in Ft Lauderdale, FL

Active since October 13, 2020
141 E COMMERCIAL BLVD, FT LAUDERDALE, FL 33334(954) 616-5675 Get Directions Write a Review

NPPES record last updated: August 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2025, Mar 18, 2025, Oct 13, 2020 (3 updates tracked since 2020).

About Mycelium Pharmacy Llc NPPES

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

MYCELIUM PHARMACY LLC (NPI 1487252391) is a healthcare organization registered as a pharmacy in Ft Lauderdale, Florida and active in the NPI registry since October 2020. The organization lists Drew Lauter, Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1487252391
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMYCELIUM PHARMACY LLC
Location Address141 E COMMERCIAL BLVDFt Lauderdale, FL 33334-1623
Mailing Address141 E Commercial BlvdFt Lauderdale, FL 33334-1623 · (954) 890-1150 · Fax (954) 393-0670
Phone(954) 616-5675
Organization SubpartNo
Authorized OfficialDrew LauterManager/owner · (954) 890-1150
Enumeration DateOctober 13, 2020
Last NPPES UpdateAugust 16, 20253 updates tracked since enumeration
NPPES CertifiedAugust 16, 2025
✔ NPI 1487252391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
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.
141 E COMMERCIAL BLVD, Ft Lauderdale, FL 33334
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

WILLIAMS PHARMACIES LLC
Pharmacy (Mail Order Pharmacy)
141 E COMMERCIAL BLVD
OAKLAND PARK, FL 33334
Broward County (954) 616-5675
DR. YASMINE DOUKOURE PHARMD
Pharmacist
141 E COMMERCIAL BLVD
OAKLAND PARK, FL 33334
Broward County (786) 543-0135
WILLIAMS PHARMACIES LLC
Pharmacy (Community/Retail Pharmacy)
141 E COMMERCIAL BLVD
OAKLAND PARK, FL 33334
Broward County (954) 616-5675

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mycelium Pharmacy LLC's NPI number?

The NPI number for Mycelium Pharmacy LLC is 1487252391. It was assigned to this organization in the NPPES registry on October 13, 2020.

Where is Mycelium Pharmacy LLC located?

Mycelium Pharmacy LLC is located at 141 E Commercial Blvd, Ft Lauderdale, FL 33334. The listed phone number is (954) 616-5675.

What is Mycelium Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Mycelium Pharmacy LLC was last updated on August 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.