NPIMap

Organization Active NPI

Public Health Trust of Dade County Florida

Doing business as Jackson Memorial Hosp-Highland Park

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1063586543
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH10582 Issued in FL
Legal business name
PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA
Doing business as
Jackson Memorial Hosp-Highland Park
Practice address
1695 NW 9TH Ave
Miami, FL 33136-1409
Phone
(305) 355-7203
Fax
(806) 242-0502
NPI assigned
Nov 17, 2006
Last updated
Mar 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Authorized official

Name
Steven Nemeroff
Title
Associate Director Pharmacy
Phone
(305) 585-6780

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PH10582 FL Primary

Addresses

Primary practice location

1695 NW 9TH Ave
Miami, FL 33136-1409

Mailing address

PO Box 864781
Orlando, FL 32886-4781
Phone (806) 324-5507

Other identifiers 3

IdentifierTypeStateIssuer
2009218OtherPK
003421100MedicaidFL
003421101MedicaidFL

Other names 1

  • JACKSON MEMORIAL HOSP-HIGHLAND PARK Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1063586543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 864781",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328864781",
            "telephone_number": "806-324-5507",
            "fax_number": "806-324-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 NW 9TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361409",
            "telephone_number": "305-355-7203",
            "fax_number": "806-242-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "NEMEROFF",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR PHARMACY",
        "authorized_official_telephone_number": "305-585-6780"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH10582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2009218",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003421100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003421101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JACKSON MEMORIAL HOSP-HIGHLAND PARK",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JACKSON MEMORIAL HOSP-HIGHLAND PARK",
            "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 Mar 18, 2019; 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.