Organization Active NPI

Medwise Inc

  • Pharmacy
  • Miami Springs, FL
National Provider Identifier
1033430301
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
MEDWISE INC
Practice address
4451 NW 36TH St
# 110
Miami Springs, FL 33166-7285
Phone
(786) 360-5955
Fax
(786) 360-5993
NPI assigned
Jun 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Authorized official

Name
Mr. Juan J Casadevalle
Title
VP of Operations
Phone
(786) 360-5955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

4451 NW 36TH St
# 110
Miami Springs, FL 33166-7285

Mailing address

4451 NW 36TH St
# 110
Miami Springs, FL 33166-7285
Phone (786) 360-5955

National Provider Directory

National Provider Directory

Locations

4451 NW 36th St
Ste 110
Miami Springs, FL 33166
Phone (786) 360-5955

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1033430301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 NW 36TH ST",
            "address_2": "# 110",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331667285",
            "telephone_number": "786-360-5955",
            "fax_number": "786-360-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 NW 36TH ST",
            "address_2": "# 110",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331667285",
            "telephone_number": "786-360-5955",
            "fax_number": "786-360-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDWISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "CASADEVALLE",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "786-360-5955",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.