Organization Active NPI

Lucky Pharms Inc

Doing business as Campo Rico Pharmacy

  • Pharmacy
  • Miami, FL
National Provider Identifier
1043526965
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH24825 Issued in FL
Legal business name
LUCKY PHARMS INC
Doing business as
Campo Rico Pharmacy
Practice address
8390 W Flagler St Ste 201a
Miami, FL 33144-2039
Phone
(305) 762-5521
Fax
(305) 433-4113
NPI assigned
Aug 30, 2010
Last updated
May 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Carmen Vivian DavisNPI 1831706415
Title
Owner
Phone
(305) 762-5521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH24825 FL Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

8390 W Flagler St Ste 201a
Miami, FL 33144-2039

Mailing address

8390 W Flagler St Ste 201a
Miami, FL 33144-2039
Phone (305) 762-5521

Other identifiers 1

IdentifierTypeStateIssuer
5701619OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Campo Rico Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

375 NE 54th St
Ste 3
Miami, FL 33137

8390 W Flagler St
Ste 201A
Miami, FL 33144
Phone (305) 762-5521

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": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1043526965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 W FLAGLER ST STE 201A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442039",
            "telephone_number": "305-762-5521",
            "fax_number": "305-433-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 W FLAGLER ST STE 201A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442039",
            "telephone_number": "305-762-5521",
            "fax_number": "305-433-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKY PHARMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "VIVIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-762-5521"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH24825",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5701619",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campo Rico Pharmacy",
            "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 May 1, 2026; 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.