OrganizationActive
Mycelium Pharmacy LLC
NPI 1487252391 · Pharmacy · Ft Lauderdale, FL
Mycelium Pharmacy LLC is a Pharmacy organization in Ft Lauderdale, FL (NPI 1487252391).
Provider details
- NPI number
- 1487252391
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Drew Lauter, Manager/Owner(954) 890-1150
Specialties & taxonomies
Suppliers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
141 E Commercial Blvd
Ft Lauderdale, FL 33334-1623
Phone: (954) 616-5675
Street-level locationGet directions
Mailing address
141 E Commercial Blvd
Ft Lauderdale, FL 33334-1623
Registry dates
- Enumerated
- 2020-10-13
- Last updated
- 2025-08-16
- Certified
- 2025-08-16
Frequently asked questions
- What is Mycelium Pharmacy LLC's NPI number?
- Mycelium Pharmacy LLC's National Provider Identifier (NPI) is 1487252391, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mycelium Pharmacy LLC?
- Mycelium Pharmacy LLC is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Mycelium Pharmacy LLC located?
- Mycelium Pharmacy LLC's practice location on file with NPPES is 141 E Commercial Blvd, Ft Lauderdale, FL 33334-1623.
- What is Mycelium Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Mycelium Pharmacy LLC is (954) 616-5675.
- Who is the authorized official for Mycelium Pharmacy LLC?
- The authorized official listed on Mycelium Pharmacy LLC's NPPES record is Drew Lauter, Manager/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mycelium Pharmacy LLC's NPI active?
- Yes — Mycelium Pharmacy LLC's NPI (1487252391) is active in the NPPES registry as of the last update on 2025-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.