Organization Active NPI

Universal Arts Pharmacy Inc

Doing business as Universal Arts Compounding Pharmacy

  • Compounding Pharmacy
  • Opa Locka, FL
National Provider Identifier
1073746608
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
PH0013996 Issued in FL
Legal business name
UNIVERSAL ARTS PHARMACY INC
Doing business as
Universal Arts Compounding Pharmacy
Practice address
14350 NW 56TH CT
Unit 114
Opa Locka, FL 33054-2353
Phone
(305) 556-2673
Fax
(305) 556-9749
NPI assigned
Aug 31, 2009
Last updated
May 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Authorized official

Name
Ramon Severino Moreno, BS PHARM.
Title
RPH/Ceo
Phone
(305) 556-2673

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU
Specialty Pharmacy 3336S0011X NU
Compounding Pharmacy 3336C0004X PH0013996 FL Primary

Addresses

Primary practice location

14350 NW 56TH CT
Unit 114
Opa Locka, FL 33054-2353

Mailing address

14350 NW 56TH CT
Unit 114
Opa Locka, FL 33054-2353
Phone (305) 556-2673

Other identifiers 1

IdentifierTypeStateIssuer
1078737OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • UNIVERSAL ARTS COMPOUNDING PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

14350 NW 56th Ct
Ste 114
Opa Locka, FL 33054
Phone (305) 556-2673

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1073746608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14350 NW 56TH CT",
            "address_2": "UNIT 114",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330542353",
            "telephone_number": "305-556-2673",
            "fax_number": "305-556-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14350 NW 56TH CT",
            "address_2": "UNIT 114",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330542353",
            "telephone_number": "305-556-2673",
            "fax_number": "305-556-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL ARTS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "SEVERINO",
        "authorized_official_title_or_position": "RPH/CEO",
        "authorized_official_telephone_number": "305-556-2673",
        "authorized_official_credential": "BS PHARM."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "FL",
            "license": "PH0013996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1078737",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSAL ARTS COMPOUNDING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Opa Locka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.