MEDICARE: SYNERGY PHARMACY & MEDICAL SUPPLIES

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	3336C0003X	Community/Retail Pharmacy	PH19951	FL
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1881614212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYNERGY PHARMACY & MEDICAL SUPPLIES

Provider Business Mailing Address
First Line	:	1543 NW 119 ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33167
Country	:	US
Telephone Number	:	305-688-1164
Fax Number	:	305-685-8074

Provider Business Practice Location Address
First Line	:	1543 NW 119 ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33167
Country	:	US
Telephone Number	:	305-688-1164
Fax Number	:	305-685-8074

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	ANDREA E FORBE
Credential	:	PHARMD
Telephone Number	:	305-688-1164

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	09/11/2025

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