Provider Demographics
NPI:1033541354
Name:NEW ERA PHARMACEUTICALS, LLC
Entity Type:Organization
Organization Name:NEW ERA PHARMACEUTICALS, LLC
Other - Org Name:NEW ERA SPECIALTY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BRUMBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:CMS
Authorized Official - Phone:855-489-2270
Mailing Address - Street 1:3350 NW 53RD ST
Mailing Address - Street 2:STE 102 & 103
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-6354
Mailing Address - Country:US
Mailing Address - Phone:855-489-2270
Mailing Address - Fax:855-489-2271
Practice Address - Street 1:3350 NW 53RD ST
Practice Address - Street 2:STE 102 & 103
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-6354
Practice Address - Country:US
Practice Address - Phone:855-489-2270
Practice Address - Fax:855-489-2271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-09
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH26973332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPH26973OtherPHARMACY LICENSE PERMIT - SPECIAL/PE