NPIMap

Organization Active NPI

Humana Medical Plan Inc

Doing business as Humana Pharmacy 47904

  • Clinic Pharmacy
  • Cutler Ridge, FL
National Provider Identifier
1053336545
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PH11078 Issued in FL
Legal business name
HUMANA MEDICAL PLAN INC
Doing business as
Humana Pharmacy 47904
Practice address
11000 SW 211TH Street
Cutler Ridge, FL 33189
Phone
(305) 254-1515
Fax
(305) 256-4310
NPI assigned
Jul 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Patricia MonroyNPI 1740296540
Title
Manager
Phone
(305) 254-1515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X PH11078 FL Primary

Addresses

Primary practice location

11000 SW 211TH Street
Cutler Ridge, FL 33189

Mailing address

11000 SW 211TH Street
Cutler Ridge, FL 33189

Other identifiers 1

IdentifierTypeStateIssuer
1072038OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • HUMANA PHARMACY 47904 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Humana Medical Plan Inc53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

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": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053336545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 SW 211TH STREET",
            "city": "CUTLER RIDGE",
            "state": "FL",
            "postal_code": "33189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 SW 211TH STREET",
            "city": "CUTLER RIDGE",
            "state": "FL",
            "postal_code": "33189",
            "telephone_number": "305-254-1515",
            "fax_number": "305-256-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANA MEDICAL PLAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONROY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-254-1515"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "FL",
            "license": "PH11078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1072038",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HUMANA PHARMACY 47904",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cutler Ridge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.