OrganizationActive
Executive Pharmacy LLC
NPI 1255582144 · Community/Retail Pharmacy · Sunrise, FL
Provider details
- NPI number
- 1255582144
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Leonard Arteaga, Mr.(954) 368-0901
Specialties & taxonomies
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
4300 N University Dr
Ste E-200
Sunrise, FL 33351-6249
Phone: (954) 368-0901
Fax: (800) 918-4152
Street-level locationGet directions
Mailing address
4300 N University Dr
Sunrise, FL 33351-6249
Other names (DBA / former)
- Doing business as
- Executive Pharmacy
Registry dates
- Enumerated
- 2008-10-09
- Last updated
- 2016-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.