Organization Active NPI

Nova 1 Corp

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1003845868
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH25630 Issued in FL
Legal business name
NOVA 1 CORP
Practice address
3692 Grand Ave
Ste B
Miami, FL 33133-4953
Phone
(305) 662-4477
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Mr. Raymond G Weisbein
Title
President
Phone
(305) 662-4477

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X PH25630 FL Primary

Addresses

Primary practice location

3692 Grand Ave
Ste B
Miami, FL 33133-4953

Mailing address

1234 S Dixie Hwy
Suite 324
Coral Gables, FL 33146-2902
Phone (305) 662-4477

Other names 1

  • Grove Pharmacy & AA Medical Supply Doing business as

National Provider Directory

National Provider Directory

Locations

1234 S Dixie Hwy
Ste 324
Coral Gables, FL 33146

1234 S Dixie Hwy
#324
Coral Gables, FL 33146

3692 Grand Ave
#B
Miami, FL 33133
Phone (305) 662-4477

3692 Grand Ave
Miami, FL 33133
Phone (305) 662-4477

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1003845868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 S DIXIE HWY",
            "address_2": "SUITE 324",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462902",
            "telephone_number": "305-662-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3692 GRAND AVE",
            "address_2": "STE B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334953",
            "telephone_number": "305-662-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA 1 CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "WEISBEIN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-662-4477",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grove Pharmacy & AA Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.