Organization Active NPI

Ely'S Pharmacy and Discount Corp.

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1083789440
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH21185 Issued in FL
Legal business name
ELY'S PHARMACY AND DISCOUNT CORP.
Practice address
15126 SW 56TH St
Miami, FL 33185-4072
Phone
(305) 385-7770
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Elizabeth Ruiz Lopez
Title
Owner-Pharmacist Manager
Phone
(305) 385-7770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH21185 FL Primary

Addresses

Primary practice location

15126 SW 56TH St
Miami, FL 33185-4072

Mailing address

15126 SW 56TH St
Miami, FL 33185-4072
Phone (305) 385-7770

National Provider Directory

National Provider Directory

Locations

15126 SW 56th St
Miami, FL 33185
Phone (305) 385-7770

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083789440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15126 SW 56TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854072",
            "telephone_number": "305-385-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15126 SW 56TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854072",
            "telephone_number": "305-385-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELY'S PHARMACY AND DISCOUNT CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "RUIZ",
        "authorized_official_title_or_position": "OWNER-PHARMACIST MANAGER",
        "authorized_official_telephone_number": "305-385-7770",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH21185",
            "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 Aug 22, 2020; 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.