Organization Active NPI

Lumi Pharmacy LLC

  • Community/Retail Pharmacy
  • Miami Springs, FL
National Provider Identifier
1104170612
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH26424 Issued in FL
Legal business name
LUMI PHARMACY LLC
Practice address
261 Westward Dr
Suite 108-109
Miami Springs, FL 33166-5290
Phone
(305) 888-6755
Fax
(305) 888-9722
NPI assigned
Nov 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Authorized official

Name
Ketty De Armas
Title
President
Phone
(305) 888-6755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH26424 FL Primary

Addresses

Primary practice location

261 Westward Dr
Suite 108-109
Miami Springs, FL 33166-5290

Mailing address

261 Westward Dr
Suite 108-109
Miami Springs, FL 33166-5290
Phone (305) 888-6755

Other identifiers 1

IdentifierTypeStateIssuer
PH26424OtherFLRETAIL COMMUNITY

National Provider Directory

National Provider Directory

Locations

261 Westward Dr
Ste 108109
Miami Springs, FL 33166
Phone (305) 200-5176

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1104170612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 WESTWARD DR",
            "address_2": "SUITE 108-109",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665290",
            "telephone_number": "305-888-6755",
            "fax_number": "305-888-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 WESTWARD DR",
            "address_2": "SUITE 108-109",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665290",
            "telephone_number": "305-888-6755",
            "fax_number": "305-888-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMI PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "DE ARMAS",
        "authorized_official_first_name": "KETTY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-888-6755"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETAIL COMMUNITY",
            "identifier": "PH26424",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.