Organization Active NPI

My Pharmacy, Inc.

Doing business as My Pharmacy of Coral Reef

  • Pharmacy
  • Miami, FL
National Provider Identifier
1124024963
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH 1823 Issued in FL
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1015874OtherFLNABP
P3228OtherFLBCBS PROVIDER

Other names 1

  • My Pharmacy of Coral Reef Doing business as

National Provider Directory

National Provider Directory
Tax ID family
My Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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"
        }
    ]
}

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 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.

Verify at the official NPI Registry.