Organization Active NPI

Staywell RX Pharmacy LLC

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1043614217
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH28634 Issued in FL
Legal business name
STAYWELL RX PHARMACY LLC
Doing business as
Staywell Rx Pharmacy LLC
Practice address
7209 Coral Way
Miami, FL 33155-1401
Phone
(305) 262-8297
Fax
(305) 262-8299
NPI assigned
Oct 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Amarilys Estopinan
Title
Owner
Phone
(305) 262-8297

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH28634 FL Primary
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

7209 Coral Way
Miami, FL 33155-1401

Mailing address

7209 Coral Way
Miami, FL 33155-1401
Phone (305) 262-8297

Other identifiers 1

IdentifierTypeStateIssuer
2148661OtherPK

Other names 1

  • Staywell Rx Pharmacy LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Staywell RX 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.

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1043614217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7209 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551401",
            "telephone_number": "305-262-8297",
            "fax_number": "305-262-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7209 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551401",
            "telephone_number": "305-262-8297",
            "fax_number": "305-262-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAYWELL RX PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "ESTOPINAN",
        "authorized_official_first_name": "AMARILYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-262-8297"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH28634",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148661",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Staywell Rx Pharmacy LLC",
            "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 Jul 7, 2015; 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.