MEDICARE: POLARIS SPECIALTY PHARMACY LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy
3	3336S0011X	Specialty Pharmacy

General Provider Information

NPI Number	:	1730515792
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POLARIS SPECIALTY PHARMACY LLC

Provider Business Mailing Address
First Line	:	2900 NW 60 STREET
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309
Country	:	US
Telephone Number	:	800-589-9747
Fax Number	:	954-923-9261

Provider Business Practice Location Address
First Line	:	100 ENTERPRISE DR STE 501
Second Line	:
City	:	ROCKAWAY
State	:	NJ
Zip	:	07866-2129
Country	:	US
Telephone Number	:	866-295-3015
Fax Number	:	201-313-9798

Authorized Official
Title or Position	:	CORPORATE DIRECTOR OF COMPLIANCE
Name	:	GINA HUNT
Credential	:
Telephone Number	:	800-589-9747

Provider Enumeration Date	:	09/23/2013
Last Update Date	:	07/16/2025

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