Ideal RX Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH19529 Issued in FL

Legal business name

IDEAL RX PHARMACY INC

Practice address

823 NW 119TH St
North Miami, FL 33168

Phone

(305) 687-4480

Fax

(305) 687-4464

NPI assigned

Nov 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Adrian Lafette Dyett

Title

President

Phone

(305) 687-4480

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124198916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 NW 119TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "33168",
            "telephone_number": "305-687-4480",
            "fax_number": "305-687-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 NW 119TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "33168",
            "telephone_number": "305-687-4480",
            "fax_number": "305-687-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL RX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DYETT",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "LAFETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-687-4480",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH19529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.

Verify at the official NPI Registry.