Organization Active NPI

Pal Laboratories Inc.

  • Community/Retail Pharmacy
  • Doral, FL
National Provider Identifier
1063550325
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH0018008 Issued in FL
Legal business name
PAL LABORATORIES INC.
Practice address
10655 NW 29TH Ter
Doral, FL 33172-2197
Phone
(305) 463-2289
Fax
(305) 463-2262
NPI assigned
Feb 1, 2007
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
Mayra Gonzalez-Abreu, PHARM. D.
Title
Pharmacy Manager
Phone
(305) 463-2289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH0018008 FL Primary

Addresses

Primary practice location

10655 NW 29TH Ter
Doral, FL 33172-2197

Mailing address

10655 NW 29TH Ter
Doral, FL 33172-2197
Phone (305) 463-2289

Other identifiers 1

IdentifierTypeStateIssuer
1079272OtherFLNABP

Other names 1

  • PBA Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

10655 NW 29th Ter
Doral, FL 33172
Phone (305) 463-2289

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063550325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10655 NW 29TH TER",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722197",
            "telephone_number": "305-463-2289",
            "fax_number": "305-463-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10655 NW 29TH TER",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722197",
            "telephone_number": "305-463-2289",
            "fax_number": "305-463-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAL LABORATORIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ-ABREU",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "305-463-2289",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH0018008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1079272",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PBA Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Doral, 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.