Active NPI
Nova 1 Corp
- Community/Retail Pharmacy
- Miami, FL
National Provider Identifier
1003845868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH25630
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.