AHF PHARMACY
Complete NPI Record 1528351624
Pharmacy - Specialty Pharmacy in Fort Lauderdale, FL
NPI Status: Active since May 23, 2011
Contact Information
1785 E SUNRISE BLVD
FORT LAUDERDALE, FL
ZIP 33304
Phone: (954) 462-9223
Fax: (954) 462-9793
- NPI
- Entity Type Code
- Employer Identification Number EIN
- Provider Organization Name Legal Business Name
- Provider Other Organization Name
- Provider Other Organization Name Type Code
- Provider First Line Business Mailing Address
- Provider Business Mailing Address City Name
- Provider Business Mailing Address State Name
- Provider Business Mailing Address Postal Code
- Provider Business Mailing Address Country Code If outside U S
- Provider Business Mailing Address Telephone Number
- Provider Business Mailing Address Fax Number
- Provider First Line Business Practice Location Address
- Provider Business Practice Location Address City Name
- Provider Business Practice Location Address State Name
- Provider Business Practice Location Address Postal Code
- Provider Business Practice Location Address Country Code If outside U S
- Provider Business Practice Location Address Telephone Number
- Provider Business Practice Location Address Fax Number
- Provider Enumeration Date
- Last Update Date
- Authorized Official Last Name
- Authorized Official First Name
- Authorized Official Title or Position
- Authorized Official Telephone Number
- Healthcare Provider Taxonomy Code 1
- Healthcare Provider Primary Taxonomy Switch 1
- Healthcare Provider Taxonomy Code 2
- Provider License Number 2
- Provider License Number State Code 2
- Healthcare Provider Primary Taxonomy Switch 2
- Healthcare Provider Taxonomy Code 3
- Healthcare Provider Primary Taxonomy Switch 3
- Other Provider Identifier 1
- Other Provider Identifier Type Code 1
- Other Provider Identifier State 1
- Other Provider Identifier Issuer 1
- Other Provider Identifier 2
- Other Provider Identifier Type Code 2
- Other Provider Identifier Issuer 2
- Other Provider Identifier 3
- Other Provider Identifier Type Code 3
- Other Provider Identifier State 3
- Is Organization Subpart
- Parent Organization LBN
- Parent Organization TIN
- NPI Certification Date
Complete NPI Dataset
This page represents the complete record for NPI 1528351624. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.
- NPI: 1528351624
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Entity Type Code: 2
- The country code in the location address of the provider being identified.
- Employer Identification Number EIN: UNAVAIL
- The telephone number associated with the location address of the provider being identified.
- Provider Organization Name Legal Business Name: PHARMACY4HUMANITY
- The fax number associated with the location address of the provider being identified.
- Provider Other Organization Name: AHF PHARMACY
- The date the provider was assigned a unique identifier (assigned an NPI).
- Provider Other Organization Name Type Code: 3
- The date that a record was last updated or changed.
- Provider First Line Business Mailing Address: 19300 S HAMILTON AVE STE 110-111
- The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
- Provider Business Mailing Address City Name: GARDENA
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: CA
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
- Provider Business Mailing Address Postal Code: 902484400
- The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
- Provider Business Mailing Address Country Code If outside U S : US
- Provider Business Mailing Address Telephone Number: 3238605366
- Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
- Provider Business Mailing Address Fax Number: 8888778455
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
- Provider First Line Business Practice Location Address: 1785 E SUNRISE BLVD
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: FORT LAUDERDALE
- The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
- Provider Business Practice Location Address State Name: FL
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 333043016
- Provider Business Practice Location Address Country Code If outside U S : US
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
- Provider Business Practice Location Address Telephone Number: 9544629223
- The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
- Provider Business Practice Location Address Fax Number: 9544629793
- Provider Enumeration Date: 5/23/2011
- Last Update Date: 4/17/2024
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
- The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
- The title or position of the authorized official.
- Healthcare Provider Taxonomy Code 1: 332B00000X
- Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: N
- Healthcare Provider Taxonomy Code 2: 3336C0003X
- Provider License Number 2: PH25461
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
- Provider License Number State Code 2: FL
- The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
- Healthcare Provider Primary Taxonomy Switch 2: N
- Healthcare Provider Taxonomy Code 3: 3336S0011X
- Healthcare Provider Primary Taxonomy Switch 3: Y
- Other Provider Identifier 1: PH34834
- Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
- Other Provider Identifier Type Code 1: 01
- Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
- Other Provider Identifier State 1: FL
- Other Provider Identifier Issuer 1: FL BOP
- Other Provider Identifier 2: 2130340
- Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
- Other Provider Identifier Type Code 2: 01
- Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
- Other Provider Identifier Issuer 2: PK
- Other Provider Identifier 3: 004168000
- Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
- Other Provider Identifier Type Code 3: 05
- Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
- Other Provider Identifier State 3: FL
- Is Organization Subpart: Y
- Parent Organization LBN: AIDS HEALTHCARE FOUNDATION
- Parent Organization TIN: UNAVAIL
- NPI Certification Date: 4/17/2024