Healthcare Provider Details

I. General information

NPI: 1285667584
Provider Name (Legal Business Name): PDI PHARMACY SERVICES OF JUPITER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 JUPITER PARK DR. SUITE #128
JUPITER FL
33458-8971
US

IV. Provider business mailing address

1001 JUPITER PARK DR. SUITE #128
JUPITER FL
33458-8971
US

V. Phone/Fax

Practice location:
  • Phone: 561-745-8338
  • Fax: 561-745-8386
Mailing address:
  • Phone: 561-745-8338
  • Fax: 561-745-8386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. NORBERT GRABER
Title or Position: PRESIDENT
Credential:
Phone: 561-745-8338