MEDICARE: PRAKRUTI LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0004X	Compounding Pharmacy
3	3336C0003X	Community/Retail Pharmacy	PH29452	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2154555	OTHER	PK
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134542020
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRAKRUTI LLC

Provider Business Mailing Address
First Line	:	1801 S OCEAN DR STE C
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-4923
Country	:	US
Telephone Number	:	561-409-4287
Fax Number	:	844-404-9924

Provider Business Practice Location Address
First Line	:	1801 S OCEAN DR STE C
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-4923
Country	:	US
Telephone Number	:	561-409-4287
Fax Number	:	844-404-9924

Authorized Official
Title or Position	:	MEMBER
Name	:	ALEKSANDR KAPLAN
Credential	:
Telephone Number	:	561-409-4287

Provider Enumeration Date	:	01/28/2014
Last Update Date	:	11/16/2025

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Directions to “PRAKRUTI LLC ” Practice Location

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