Mimed Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MIMED PHARMACY, LLC

Practice address

7758 NW 46TH St
Doral, FL 33166-5460

Phone

(305) 929-8473

Fax

(786) 409-7838

NPI assigned

Jan 5, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Steven Miller

Title

Owner / Pharmacist

Phone

(305) 733-0187

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1546646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546646400000",
    "number": "1003389768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7758 NW 46TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331665460",
            "telephone_number": "305-929-8473",
            "fax_number": "786-409-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7758 NW 46TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331665460",
            "telephone_number": "305-929-8473",
            "fax_number": "786-409-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIMED PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-05",
        "last_updated": "2019-01-05",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER / PHARMACIST",
        "authorized_official_telephone_number": "305-733-0187",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY PHARMACY LICENSE NUMBER",
            "identifier": "PH31826",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Anne Millard
• Glenn Patterson Miller Jr., M.D.
• Claire D'Ange Millien, R.N.
• Rachel Milzarek
• Mimar Multiservices Inc
• Charity Minana
• Jeanette Mincey, REGISTERED NURSE
• Mind and Body Rehab Medical Group, Inc.
• Mind and Body Rehab Medical Group, Inc.
• Mind, Body and Soul Counseling Services

• Community/Retail Pharmacy in Doral, FL
• Providers in Doral, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2019; 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.