Organization Active NPI

Target

  • Pharmacist
  • Miami, FL
National Provider Identifier
1063756013
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS49950 Issued in FL
Legal business name
TARGET
Practice address
15005 SW 88TH St
Miami, FL 33196-1314
Phone
(305) 383-1409
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Mr. Terrell Jefferson
Title
RX Business Partner
Phone
(678) 521-7938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X PS49950 FL Primary

Addresses

Primary practice location

15005 SW 88TH St
Miami, FL 33196-1314

Mailing address

15005 SW 88TH St
Miami, FL 33196-1314
Phone (305) 383-1409

National Provider Directory

National Provider Directory

Locations

15005 SW 88th St
Miami, FL 33196
Phone (305) 383-1409

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1063756013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15005 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961314",
            "telephone_number": "305-383-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15005 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961314",
            "telephone_number": "305-383-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "TERRELL",
        "authorized_official_title_or_position": "RX BUSINESS PARTNER",
        "authorized_official_telephone_number": "678-521-7938",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS49950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 15, 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.