Broward Health Cora E. Braynon Family Health Center Pharmacy – Community/Retail Pharmacy, NPI 1134164965
Community/Retail Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Broward Health Cora E. Braynon Family Health Center Pharmacy
1608, Southeast 3rd Avenue, Fort Lauderdale, Broward County, Florida, 33316, United States
THIRD FLOOR PBO
FORT LAUDERDALE, FL 333162564
Phone: (954) 847-4273
Type: Mailing
1700 NW 49TH ST STE 125
FORT LAUDERDALE, FL 333093750
Phone:
Type: Mailing
Broward Health, 200, Northwest 7th Avenue, Fort Lauderdale, Broward County, Florida, 33311, United States
FORT LAUDERDALE, FL 33311
Phone: (954) 759-6600
Fax: (954) 759-6665
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-02-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-02-28 (105 days ago).
Enrollment records
1
Earliest due date
2026-02-28
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20230201001355 | O | Pharmacy | FL | 2026-02-28 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33316)
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