Organization Active NPI

Calle Ocho Pharmacy LLC

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1063822286
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH28084 Issued in FL
Legal business name
CALLE OCHO PHARMACY LLC
Practice address
2204 SW 8TH St
Miami, FL 33135-4914
Phone
(786) 525-9143
Fax
(786) 525-9143
NPI assigned
Apr 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Authorized official

Name
Jimmy Reyes
Title
President
Phone
(786) 525-9143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH28084 FL Primary

Addresses

Primary practice location

2204 SW 8TH St
Miami, FL 33135-4914

Mailing address

2204 SW 8TH St
Miami, FL 33135-4914
Phone (786) 525-9143

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1063822286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354914",
            "telephone_number": "786-525-9143",
            "fax_number": "786-525-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354914",
            "telephone_number": "786-525-9143",
            "fax_number": "786-525-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLE OCHO PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-525-9143"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH28084",
            "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 Apr 28, 2014; 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.