Active NPI
SPD Pharmacy & Discount Store Inc
- Community/Retail Pharmacy
- Miami, FL
National Provider Identifier
1114019320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH0008914
- Legal business name
- SPD PHARMACY & DISCOUNT STORE INC
- Practice address
- 13655 SW 26 Street
Miami, FL 33175 - Phone
- (305) 221-1653
- Fax
- (305) 221-2667
- NPI assigned
- Sep 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leo Cuervo
- Title
- President
- Phone
- (305) 827-9582
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH0008914 | FL | Primary |
Addresses
Primary practice location
13655 SW 26 Street
Miami, FL 33175
Mailing address
13655 SW 26 Street
Miami, FL 33175
Phone (305) 221-1653
Other names 1
- Sedanos Pharmacy #4
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114019320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13655 SW 26 STREET",
"city": "MIAMI",
"state": "FL",
"postal_code": "33175",
"telephone_number": "305-221-1653",
"fax_number": "305-221-2667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13655 SW 26 STREET",
"city": "MIAMI",
"state": "FL",
"postal_code": "33175",
"telephone_number": "305-221-1653",
"fax_number": "305-221-2667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPD PHARMACY & DISCOUNT STORE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CUERVO",
"authorized_official_first_name": "LEO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-827-9582"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH0008914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sedanos Pharmacy #4",
"code": "3",
"type": "Doing Business As"
}
]
}
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.