Fis'S Care Pharmacy,Inc.

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

PH21464 Issued in FL

Legal business name

FIS'S CARE PHARMACY,INC.

Practice address

15190 SW 136TH St Ste 27
Miami, FL 33196-2618

Phone

(305) 256-1180

Fax

(305) 256-1189

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Lisandro C Fis

Title

Owner President

Phone

(305) 256-1180

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1124113949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15190 SW 136TH ST STE 27",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962618",
            "telephone_number": "305-256-1180",
            "fax_number": "305-256-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15190 SW 136TH ST STE 27",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962618",
            "telephone_number": "305-256-1180",
            "fax_number": "305-256-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIS'S CARE PHARMACY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "FIS",
        "authorized_official_first_name": "LISANDRO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "305-256-1180"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "FL",
            "license": "PH21464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "031135901",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031135900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.