Organization Active NPI

Las Mercedes Drug Store Inc

  • Pharmacy
  • Miami, FL
National Provider Identifier
1124392014
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
LAS MERCEDES DRUG STORE INC
Practice address
7209 Coral Way
Miami, FL 33155-1401
Phone
(786) 518-2793
Fax
(786) 518-2795
NPI assigned
Feb 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Authorized official

Name
Israel Libera
Title
President
Phone
(786) 518-2793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X FL Primary

Addresses

Primary practice location

7209 Coral Way
Miami, FL 33155-1401

Mailing address

7209 Coral Way
Miami, FL 33155-1401
Phone (786) 518-2793

Other identifiers 1

IdentifierTypeStateIssuer
4216OtherFLDOC NUMB

National Provider Directory

National Provider Directory
Tax ID family
Las Mercedes Drug Store Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

7209 Coral Way
Miami, FL 33155
Phone (305) 264-8070

NPI Registry JSON

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1124392014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7209 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551401",
            "telephone_number": "786-518-2793",
            "fax_number": "786-518-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7209 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551401",
            "telephone_number": "786-518-2793",
            "fax_number": "786-518-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS MERCEDES DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "LIBERA",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-518-2793"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOC NUMB",
            "identifier": "4216",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 9, 2012; 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.