Healthcare Provider Details

I. General information

NPI: 1962514802
Provider Name (Legal Business Name): SKYEMED PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3664 NE 18TH TER
POMPANO BEACH FL
33064-6654
US

IV. Provider business mailing address

3664 NE 18TH TER
POMPANO BEACH FL
33064-6654
US

V. Phone/Fax

Practice location:
  • Phone: 954-426-3330
  • Fax: 954-426-3386
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License NumberPH17169
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CATHY BRUMBAUGH
Title or Position: VP
Credential: CMS
Phone: 954-570-0170