PARK SHORE DRUG INC – Long Term Care Pharmacy, NPI 1982653523
Long Term Care Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PARK SHORE DRUG INC
600, Ansin Boulevard, Hallandale Beach, Broward County, Florida, 33009, United States
HALLANDALE BEACH, FL 330092118
Phone: (954) 874-4646
Fax: (954) 455-1378
Mailing address matches the actual address.
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: 2011-11-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-05-31 (11 days ago).
Enrollment records
2
Earliest due date
2026-05-31
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 |
|---|---|---|---|---|
| O20110105001181 | O | Pharmacy | FL | TBD |
| O20111121000183 | O | Pharmacy | FL | 2026-05-31 |
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90686 | Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | 517 | 507 | $0 |
| G0008 | Administration of influenza virus vaccine | 517 | 507 | $0 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 164 | 164 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 164 | 164 | $0 |
| 0134A | Adm sarscv2 bvl 50mcg/.5ml a | 75 | 75 | $0 |
Insurance plans in this area (ZIP 33009)
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