Coral Pharmacy LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

PH24991 Issued in FL

Legal business name

CORAL PHARMACY LLC

Practice address

5581 SW 8TH St
Coral Gables, FL 33134-2219

Phone

(305) 280-2722

Fax

(305) 631-2918

NPI assigned

Nov 16, 2010

Organization subpart

No

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

Authorized official

Name

Odelvys Diaz

Title

President

Phone

(305) 280-2722

Specialties & licenses 1

Addresses

Tax ID family

Coral Pharmacy LLC2 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.

• Coral Pharmacy LLC

  • Community/Retail Pharmacy
  • Coral Gables, FL
  • NPI 1629387642
  NPD tax ID

Locations

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1013218460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5581 SW 8TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342219",
            "telephone_number": "305-280-2722",
            "fax_number": "305-631-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5581 SW 8TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342219",
            "telephone_number": "305-280-2722",
            "fax_number": "305-631-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ODELVYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-280-2722"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "FL",
            "license": "PH24991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Coral Gables Pharmacy and Medical Supply, Inc
• Coral Gables Physical Therapy, L.L.C.
• Coral Gables Rehabilitation Center
• Coral Pharmacy LLC
• Coral Pharmacy Miami Inc
• Coral Therapy Center Inc
• Coral Wellness Medical Center
• Corazon de Jesus Medical Center LLC

• Specialty Pharmacy in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Specialty Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.