Aqua Pharma Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH26996 Issued in FL

Legal business name

AQUA PHARMA INC

Practice address

2500 W Flagler St
Miami, FL 33135-1423

Phone

(305) 200-3149

Fax

(305) 967-8409

NPI assigned

Aug 14, 2013

Organization subpart

No

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

Authorized official

Name

Ileana Rodriguez

Title

President

Phone

(305) 200-3149

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1093148918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351423",
            "telephone_number": "305-200-3149",
            "fax_number": "305-967-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351423",
            "telephone_number": "305-200-3149",
            "fax_number": "305-967-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUA PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ILEANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-200-3149"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Miami, FL
• Providers in Miami, FL by specialty
• Community/Retail Pharmacy in Florida

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