Northwest Medical Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH25535 Issued in FL

Legal business name

NORTHWEST MEDICAL PHARMACY LLC

Practice address

2089 SW 67TH Ave
Suite B
Miami, FL 33155-1835

Phone

(305) 637-6776

Fax

(305) 637-3404

NPI assigned

Jun 29, 2011

Organization subpart

No

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

Authorized official

Name

Alexei Toledo

Title

MGRM

Phone

(305) 637-6776

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• NORTHWEST MEDICAL PHARMACY Doing business as

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1083901938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2089 SW 67TH AVE",
            "address_2": "SUITE B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551835",
            "telephone_number": "305-637-6776",
            "fax_number": "305-637-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 SW 67TH AVE",
            "address_2": "SUITE B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551835",
            "telephone_number": "305-637-6776",
            "fax_number": "305-637-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MEDICAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "TOLEDO",
        "authorized_official_first_name": "ALEXEI",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "305-637-6776"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH25535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004301400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5706392",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHWEST MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Miami, FL
• Providers in Miami, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.