KARE PHARMACY INC

Provider Demographics

• NPI: 1629165816
• Name: KARE PHARMACY INC
• Entity Type: Organization
• Organization Name: KARE PHARMACY INC
• Other - Org Name: KARE PHARMACY/NEIGHBORHOOD DRUGS OF CORAL SPRINGS
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: OWNER
• Authorized Official - First Name: GARRY
• Authorized Official - Last Name: JONAS
• Authorized Official - Phone: 954-380-8632
• Mailing Address - Street 1: 600 W HILLSBORO BLVD
• Mailing Address - Street 2: SUITE 300
• Mailing Address - City: DEERFIELD BEACH
• Mailing Address - State: FL
• Mailing Address - Zip Code: 33441-1609
• Mailing Address - Country: US
• Mailing Address - Phone: 954-380-8232
• Mailing Address - Fax: 954-346-0461
• Practice Address - Street 1: 600 W HILLSBORO BLVD
• Practice Address - Street 2: SUITE 300
• Practice Address - City: DEERFIELD BEACH
• Practice Address - State: FL
• Practice Address - Zip Code: 33441-1609
• Practice Address - Country: US
• Practice Address - Phone: 954-380-8232
• Practice Address - Fax: 954-346-0461
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-10-07
• Last Update Date: 2015-09-04

Provider Licenses

State	License ID	Taxonomies
FL	PH21335	3336C0003X, 3336C0003X
		332B00000X, 333600000X
NY	32127	3336C0003X
MT	18912	3336C0003X
MN	264131	3336C0003X
IA	4180	3336C0003X
IL	54.018345	3336C0003X
KS	22-13011	3336C0003X
NJ	28RO00085700	3336C0003X
ID	33110MS	3336C0003X
ME	MO40001479	3336C0003X
NV	PH02945	3336C0003X
AL	114103	3336C0003X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	3336C0003X	Suppliers	Pharmacy	Community/Retail Pharmacy
No	332B00000X	Suppliers	Durable Medical Equipment & Medical Supplies
No	333600000X	Suppliers	Pharmacy

Provider Identifiers

State	Identifier ID	ID Type	Issuer
	2004567	Other	PK
ID	1629165816	Medicaid
IA	1629165816	Medicaid
	6956370001	Medicare NSC
MT	1629165816	Medicaid
IN	201195680A	Medicaid
OH	M008263	Medicaid
AK	PH006FL	Medicaid
PA	102814057-0001	Medicaid
MN	1629165816	Medicaid
FL	30899400	Medicaid
ME	131090003	Medicaid
IL	32805033	Medicaid
MD	5233275-00	Medicaid
VT	1021998	Medicaid
WA	1437496296	Medicaid
UT	1629165816	Medicaid