Organization Active NPI

Miami Executive Pharmacy Inc

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1154628097
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH25241 Issued in FL
Legal business name
MIAMI EXECUTIVE PHARMACY INC
Practice address
8950 SW 74TH CT Ste 102
Miami, FL 33156-3172
Phone
(305) 670-5253
Fax
(800) 557-0966
NPI assigned
Feb 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Andrey Solovyev
Title
President
Phone
(305) 670-5253

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH25241 FL Primary
Compounding Pharmacy 3336C0004X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

8950 SW 74TH CT Ste 102
Miami, FL 33156-3172

Mailing address

8950 SW 74TH CT
Suite 102
Miami, FL 33156-3171
Phone (305) 670-5253

Other identifiers 1

IdentifierTypeStateIssuer
2128860OtherPK

Other names 1

  • MIAMI EXECUTIVE PHARMACY, INC. Doing business as

National Provider Directory

National Provider Directory

Locations

8950 SW 74th Ct
Ste 102
Miami, FL 33156
Phone (305) 670-5253

NPI Registry JSON

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1154628097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 SW 74TH CT",
            "address_2": "SUITE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331563171",
            "telephone_number": "305-670-5253",
            "fax_number": "800-557-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 SW 74TH CT STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331563172",
            "telephone_number": "305-670-5253",
            "fax_number": "800-557-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI EXECUTIVE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "SOLOVYEV",
        "authorized_official_first_name": "ANDREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-670-5253"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25241",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128860",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIAMI EXECUTIVE PHARMACY, INC.",
            "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 Apr 7, 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.