Coral Gables Pharmacy and Medical Supply, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH25066 Issued in FL

Legal business name

CORAL GABLES PHARMACY AND MEDICAL SUPPLY, INC

Doing business as

Coral Gables Pharmacy and Medical Supply, Inc

Practice address

3160 Ponce de Leon Blvd
Coral Gables, FL 33134-6826

Phone

(305) 444-5115

Fax

(305) 444-5119

NPI assigned

Nov 23, 2010

Last updated

Nov 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ricardo Paez

Title

Pharmacy Manager

Phone

(305) 444-5115

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Coral Gables Pharmacy and Medical Supply, Inc Doing business as

Locations

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1063714111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346826",
            "telephone_number": "305-444-5115",
            "fax_number": "305-444-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346826",
            "telephone_number": "305-444-5115",
            "fax_number": "305-444-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL GABLES PHARMACY AND MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "PAEZ",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "305-444-5115"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25066",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5702786",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coral Gables Pharmacy and Medical Supply, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coral Gables Executive Physicians LLC
• Coral Gables Foot and Ankle Specialists LLC (atlantic foot & ankle)
• Coral Gables Medical Care Inc
• Coral Gables Medical Center Inc
• Coral Gables MRI Inc
• Coral Gables Physical Therapy, L.L.C.
• Coral Gables Rehabilitation Center
• Coral Pharmacy LLC
• Coral Pharmacy LLC
• Coral Pharmacy Miami Inc

• Community/Retail Pharmacy in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.