Organization Active NPI

Lizmar of South Florida

  • Community/Retail Pharmacy
  • Doral, FL
National Provider Identifier
1003084500
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH22942 Issued in FL
Legal business name
LIZMAR OF SOUTH FLORIDA
Practice address
9676 NW 25TH St
Doral, FL 33172-1403
Phone
(305) 436-9460
Fax
(305) 436-9662
NPI assigned
Feb 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Estela Cabrera
Title
Owner
Phone
(305) 436-9460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH22942 FL Primary

Addresses

Primary practice location

9676 NW 25TH St
Doral, FL 33172-1403

Mailing address

9676 NW 25TH St
Doral, FL 33172-1403

Other identifiers 1

IdentifierTypeStateIssuer
1032541OtherOTHER ID NUMBER

Other names 1

  • LIZMAR OF SOUTH FLORDIA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lizmar of South Flordia2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1003084500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9676 NW 25TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9676 NW 25TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721403",
            "telephone_number": "305-436-9460",
            "fax_number": "305-436-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIZMAR OF SOUTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "ESTELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-436-9460"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH22942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1032541",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIZMAR OF SOUTH FLORDIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.