Organization Active NPI

Reliable Super Drugs of Miami LLC

Doing business as Reliable Super Drugs

  • Community/Retail Pharmacy
  • North Miami, FL
National Provider Identifier
1023104577
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH23309 Issued in FL
Legal business name
RELIABLE SUPER DRUGS OF MIAMI LLC
Doing business as
Reliable Super Drugs
Practice address
2168 NE 123Rd St
North Miami, FL 33181-2902
Phone
(305) 893-5252
Fax
(305) 893-6761
NPI assigned
Oct 4, 2006
Last updated
Jul 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Yasmin Charania
Title
President/Owner
Phone
(305) 893-5252

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PH23309 FL Primary

Addresses

Primary practice location

2168 NE 123Rd St
North Miami, FL 33181-2902

Mailing address

2168 NE 123Rd St
North Miami, FL 33181-2902
Phone (305) 893-5252

Other identifiers 2

IdentifierTypeStateIssuer
008651500MedicaidFL
2127232OtherPK

Other names 1

  • Reliable Super Drugs Doing business as

National Provider Directory

National Provider Directory

Locations

2168 NE 123rd St
North Miami, FL 33181
Phone (305) 893-5252

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1023104577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2168 NE 123RD ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812902",
            "telephone_number": "305-893-5252",
            "fax_number": "305-893-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2168 NE 123RD ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812902",
            "telephone_number": "305-893-5252",
            "fax_number": "305-893-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE SUPER DRUGS OF MIAMI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "CHARANIA",
        "authorized_official_first_name": "YASMIN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "305-893-5252"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008651500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127232",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reliable Super Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.