Organization Active NPI

CC Pharmacy Discount & Supply Corp

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1053681585
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH25801 Issued in FL
Legal business name
CC PHARMACY DISCOUNT & SUPPLY CORP
Practice address
10550 SW 8TH St
Miami, FL 33174-2612
Phone
(305) 552-6690
Fax
(305) 552-6689
NPI assigned
Dec 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Authorized official

Name
Yolanda Falcon
Title
Owner
Phone
(305) 552-6690

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH25801 FL Primary

Addresses

Primary practice location

10550 SW 8TH St
Miami, FL 33174-2612

Mailing address

10550 SW 8TH St
Miami, FL 33174-2612
Phone (305) 552-6690

Other identifiers 1

IdentifierTypeStateIssuer
5708562OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • CC Pharmacy Discount & Supply Corp Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1053681585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742612",
            "telephone_number": "305-552-6690",
            "fax_number": "305-552-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742612",
            "telephone_number": "305-552-6690",
            "fax_number": "305-552-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CC PHARMACY DISCOUNT & SUPPLY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "FALCON",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-552-6690"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5708562",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CC Pharmacy Discount & Supply Corp",
            "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 Aug 13, 2012; 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.