Provider Demographics
NPI:1275706988
Name:ACCESS AMERICARE HEALTH SERVICES INC
Entity Type:Organization
Organization Name:ACCESS AMERICARE HEALTH SERVICES INC
Other - Org Name:AMERICARE RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:561-734-0036
Mailing Address - Street 1:1865 W WOOLBRIGHT RD
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-6321
Mailing Address - Country:US
Mailing Address - Phone:561-734-0036
Mailing Address - Fax:561-734-0039
Practice Address - Street 1:1865 W WOOLBRIGHT RD
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-6321
Practice Address - Country:US
Practice Address - Phone:561-734-0036
Practice Address - Fax:561-734-0039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336C0004X
FLPH233353336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1034785OtherNCPDP PROVIDER IDENTIFICATION NUMBER