Bernard P. Alicki Health Center Pharmacy – Community/Retail Pharmacy, NPI 1699703660
Community/Retail Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Bernard P. Alicki 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
1111, West Broward Boulevard, Fort Lauderdale, Broward County, Florida, 33312, United States
FORT LAUDERDALE, FL 33312
Phone: (954) 463-7313
Type: Location
1700 NW 49TH ST STE 125
FORT LAUDERDALE, FL 333093750
Phone: (954) 463-8119
Fax: (954) 467-9588
Type: Mailing
1101 W BROWARD BLVD
FORT LAUDERDALE, FL 333121638
Phone: (954) 463-8119
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: 2022-03-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-01-31 (132 days ago).
Enrollment records
2
Earliest due date
2026-01-31
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 |
|---|---|---|---|---|
| O20220329001097 | O | Pharmacy | FL | TBD |
| O20220330002018 | O | Pharmacy | FL | 2026-01-31 |
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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