Organization Active NPI

Tajose LLC

  • Long Term Care Pharmacy
  • Doral, FL
National Provider Identifier
1013169713
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PH21208 Issued in FL
Legal business name
TAJOSE LLC
Doing business as
HEART MED PHARMACY
Practice address
2351 NW 93Rd Ave
Doral, FL 33172-4811
Phone
(305) 594-9899
Fax
(305) 594-9821
NPI assigned
Oct 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Mr. Michael A Marquez
Title
C.F.O
Phone
(305) 594-9899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X PH21208 FL Primary

Addresses

Primary practice location

2351 NW 93Rd Ave
Doral, FL 33172-4811

Mailing address

2351 NW 93Rd Ave
Doral, FL 33172-4811
Phone (305) 594-9899

Other identifiers 1

IdentifierTypeStateIssuer
028463700MedicaidFL

Other names 1

  • HEART MED PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2351 NW 93rd Ave
Doral, FL 33172
Phone (305) 594-9899

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1013169713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 NW 93RD AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331724811",
            "telephone_number": "305-594-9899",
            "fax_number": "305-594-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 NW 93RD AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331724811",
            "telephone_number": "305-594-9899",
            "fax_number": "305-594-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAJOSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "C.F.O",
        "authorized_official_telephone_number": "305-594-9899",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH21208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028463700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEART MED PHARMACY",
            "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 Oct 14, 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.