=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225530702
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AIDS HEALTHCARE FOUNDATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/01/2018
-----------------------------------------------------
Last Update Date | 12/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 700 SE 3RD AVE STE 100A
-----------------------------------------------------
City | FORT LAUDERDALE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33316-1154
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-761-4534
-----------------------------------------------------
Fax | 844-448-5483
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 18421 S MAIN ST
-----------------------------------------------------
City | GARDENA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90248-4609
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-999-6089
-----------------------------------------------------
Fax | 833-261-3712
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF PHARMACY OFFICER
-----------------------------------------------------
Name | SCOTT CARRUTHERS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 323-860-5241
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336S0011X
-----------------------------------------------------
Taxonomy Name | Specialty Pharmacy
-----------------------------------------------------
License Number | PH31414
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------