Provider Demographics
NPI:1225163264
Name:PREFERRED PRESCRIPTION PLAN INC
Entity Type:Organization
Organization Name:PREFERRED PRESCRIPTION PLAN INC
Other - Org Name:PREFERRED PRESCRIPTION PLAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-990-2204
Mailing Address - Street 1:2201 W SAMPLE RD
Mailing Address - Street 2:BLDG 9 STE 1A
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33073-3082
Mailing Address - Country:US
Mailing Address - Phone:877-969-1230
Mailing Address - Fax:877-969-4990
Practice Address - Street 1:2201 W SAMPLE RD
Practice Address - Street 2:BLDG 9 STE 1A
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33073-3082
Practice Address - Country:US
Practice Address - Phone:877-969-1230
Practice Address - Fax:877-969-4990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH144333336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1069497OtherNCPDP PROVIDER IDENTIFICATION NUMBER
FL102220200Medicaid
FL102220200Medicaid