Active NPI
My Pharmacy, Inc.
Doing business as My Pharmacy of Coral Reef
- Pharmacy
- Miami, FL
National Provider Identifier
1124024963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PH 1823
- Legal business name
- MY PHARMACY, INC.
- Doing business as
- My Pharmacy of Coral Reef
- Practice address
- 15043 S Dixie Hwy
Miami, FL 33176-7930 - Phone
- (305) 238-2474
- Fax
- (305) 238-0261
- NPI assigned
- Jun 27, 2005
- Last updated
- Mar 14, 2008
- 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
- Mr. Orin E Smith Jr., RPH
- Title
- Direct Owner
- Phone
- (305) 238-2474
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | NU | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | NU | ||
| Pharmacy | 333600000X | PH 19817 | FL | |
| Pharmacy | 333600000X | PH 1823 | FL | Primary |
| Prosthetic/Orthotic Supplier | 335E00000X | NU |
Addresses
Primary practice location
15043 S Dixie Hwy
Miami, FL 33176-7930
Mailing address
15043 S Dixie Hwy
Miami, FL 33176-7930
Phone (305) 238-2474
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1015874 | Other | FL | NABP |
| P3228 | Other | FL | BCBS PROVIDER |
Other names 1
- My Pharmacy of Coral Reef
National Provider Directory
National Provider Directory- Tax ID family
- My Pharmacy Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Palmetto Bay, FL
- NPI 1386837870
-
dba Palmetto Bay Home Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Palmetto Bay, FL
- NPI 1376795740
Locations
15043 S Dixie Hwy
Palmetto Bay, FL 33176
Phone (305) 238-2474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205452800000",
"number": "1124024963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15043 S DIXIE HWY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331767930",
"telephone_number": "305-238-2474",
"fax_number": "305-238-0261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15043 S DIXIE HWY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331767930",
"telephone_number": "305-238-2474",
"fax_number": "305-238-0261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-27",
"last_updated": "2008-03-14",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "ORIN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "DIRECT OWNER",
"authorized_official_telephone_number": "305-238-2474",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "FL",
"license": "PH 19817",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "FL",
"license": "PH 1823",
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "1015874",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER",
"identifier": "P3228",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "My Pharmacy of Coral Reef",
"code": "3",
"type": "Doing Business As"
}
]
}
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- My Pharmacy of Bird Road Inc (Allen's Medical)
- My Preferred Clinic LLC
- My Rehab Services, Corp
- My Roots of Life
- My School Psychologist, Inc (Mhealth)
- My Smile Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.