Locatel Sunny Isles LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LOCATEL SUNNY ISLES LLC

Doing business as

Miramar Pharmacy

Practice address

1951 SW 172ND Ave
Suite #107
Miramar, FL 33029

Phone

(954) 392-8000

Fax

(954) 392-8070

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Dino Jose Antonioni, RPH

Title

Ceo/Owner/Pharmacist

Phone

(954) 392-8000

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Miramar Pharmacy Doing business as

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1093880064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 SW 172ND AVE",
            "address_2": "SUITE #107",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33029",
            "telephone_number": "954-392-8000",
            "fax_number": "954-392-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 SW 172ND AVE",
            "address_2": "SUITE #107",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33029",
            "telephone_number": "954-392-8000",
            "fax_number": "954-392-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCATEL SUNNY ISLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "ANTONIONI",
        "authorized_official_first_name": "DINO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "CEO/OWNER/PHARMACIST",
        "authorized_official_telephone_number": "954-392-8000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PH21641",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1016167",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031314900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miramar Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gloria Lluch Fitzpatrick, PTA
• LMB Financial Services, LLC (Christina's Place)
• Mariafernanda Loaisiga
• Louis Lobalsamo, M.D.
• Shamare Sharlanique Lobban
• Thomas Lee Logan, M.D.
• Jenny Lombana, APRN,FNP-C
• John Edward Lombardi, R.PH.
• Ivette Lombera Sr.
• Jennifer Beth Long, M.D.

• Community/Retail Pharmacy in Miramar, FL
• Providers in Miramar, 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 Apr 8, 2010; 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.