OrganizationActive
Polynesia Inc
NPI 1205567104 · Long Term Care Pharmacy · Boca Raton, FL
Provider details
- NPI number
- 1205567104
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Michael Yushuva, President(561) 245-6985
Specialties & taxonomies
Suppliers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1906 Clint Moore Rd Ste 4
Boca Raton, FL 33496-2663
Phone: (561) 245-6985
Fax: (561) 237-8045
Street-level locationGet directions
Mailing address
1906 Clint Moore Rd Ste 4
Boca Raton, FL 33496-2663
Other names (DBA / former)
- Doing business as
- Clint Moore Pharmacy Ltc
- Doing business as
- Clint Moore Pharmacy Ltc
Registry dates
- Enumerated
- 2022-06-21
- Last updated
- 2022-09-18
- Certified
- 2022-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.