Pinecrest Pharmacy, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PINECREST PHARMACY, INC

Practice address

955 NW 3Rd St
Miami, FL 33128-1274

Phone

(305) 253-9191

NPI assigned

May 15, 2006

Organization subpart

No

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

Authorized official

Name

Jesus Gazquez

Title

President

Phone

(305) 253-9191

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063463883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 NW 3RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331281274",
            "telephone_number": "305-253-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 NW 3RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331281274",
            "telephone_number": "305-253-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINECREST PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAZQUEZ",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-253-9191"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinecrest Family Medicine Inc
• Pinecrest Health Center LLC
• Pinecrest Medical Group
• Pinecrest Medical Specialists Inc
• Pinecrest Performance, LLC
• Pinecrest PT-South L.L.C.
• Pinecrest Strength & Conditioning, L.L.C.
• Pinecrest Vision Center, Inc.
• Pinecrest Wellness L.L.C.
• Pinecrest Wellness-Downtown, LLC

• Pharmacy in Miami, FL
• Providers in Miami, FL by specialty
• Pharmacy in Florida

• 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.