Provider Demographics
NPI:1629575139
Name:3RD PARTY API
Entity Type:Organization
Organization Name:3RD PARTY API
Other - Org Name:PHARMACY BENEFITS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LENETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-742-4038
Mailing Address - Street 1:20801 BISCAYNE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1422
Mailing Address - Country:US
Mailing Address - Phone:800-742-4038
Mailing Address - Fax:
Practice Address - Street 1:20801 BISCAYNE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1422
Practice Address - Country:US
Practice Address - Phone:800-742-4038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-11
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service