Healthcare Provider Details

I. General information

NPI: 1245147602
Provider Name (Legal Business Name): FILL PILL PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3146 JOHN P CURCI DR STE 5
HALLANDALE BEACH FL
33009-3836
US

IV. Provider business mailing address

3146 JOHN P CURCI DR STE 5
HALLANDALE BEACH FL
33009-3836
US

V. Phone/Fax

Practice location:
  • Phone: 754-465-5240
  • Fax: 754-298-3001
Mailing address:
  • Phone: 754-465-5240
  • Fax: 754-298-3001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SERGEY MOISEYEV
Title or Position: PRESCRIPTION DEPARTMENT MANAGER
Credential: PHARMD
Phone: 754-777-2526