NPIMap

Organization Active NPI

Jessie Trice Community Health System, Inc

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1043892979
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC
Practice address
5607 NW 27TH Avenue
Suite 1
Miami, FL 33142
Phone
(305) 499-1928
Fax
(305) 634-1845
NPI assigned
Apr 21, 2021
Organization subpart
Yes
Parent organization
JESSIE TRICE COMMUNITY HEALTH SYSTEM INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Ryan R. Hawkins
Title
President & Ceo
Phone
(305) 805-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

5607 NW 27TH Avenue
Suite 1
Miami, FL 33142

Mailing address

5607 NW 27TH Ave Ste 1
Miami, FL 33142-2826
Phone (305) 499-1928

Other identifiers 2

IdentifierTypeStateIssuer
111006300MedicaidFL
PH33308OtherFLSTATE

Other names 1

  • MAIN PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210923001720 FL Part B Supplier - Pharmacy 2961486733 Practice locations: Miami, FL

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Economic Opportunity FH15 organizations share this tax ID, including this one
Part of
Economic Opportunity FH

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

901 E 10th Ave
Hialeah, FL 33010
Phone 30563764002151

1190 NW 95th St
Ste 304
Miami, FL 33150
Phone (305) 835-2400

5361 NW 22nd Ave
#M1
Miami, FL 33142

1775 NW 60th St
Miami, FL 33142
Phone (305) 691-8021

7200 NW 22nd Ave
Miami, FL 33147
Phone (305) 835-8122

1190 NW 95th St
#110N
Miami, FL 33150
Phone 30563764002151

19340 NW 8th Ct
Miami, FL 33169
Phone (305) 805-1700

9950 NW 19th Ave
Miami, FL 33147
Phone (305) 691-4547

1190 NW 95th St
Ste 110
Miami, FL 33150
Phone (305) 696-7759

1220 NW 95th St
Miami, FL 33147
Phone (305) 694-6900

490 Opa Locka Blvd
#100
Opa Locka, FL 33054
Phone (305) 681-3915

16401 NW 37th Ave
Opa Locka, FL 33054
Phone (305) 625-6000

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1043892979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 NW 27TH AVE STE 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331422826",
            "telephone_number": "305-499-1928",
            "fax_number": "305-634-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5607 NW 27TH AVENUE",
            "address_2": "SUITE 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33142",
            "telephone_number": "305-499-1928",
            "fax_number": "305-634-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JESSIE TRICE COMMUNITY HEALTH SYSTEM INC",
        "enumeration_date": "2021-04-21",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "305-805-1700"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111006300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "PH33308",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAIN 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 Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.