Villa Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH28069 Issued in FL

Legal business name

VILLA PHARMACY

Practice address

14285 SW 42ND St
Miami, FL 33175-6410

Phone

(786) 536-5358

Fax

(786) 536-5361

NPI assigned

Apr 22, 2014

Organization subpart

No

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

Authorized official

Name

Wynda Vega

Title

President

Phone

(786) 536-5358

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VILLA PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1154741767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14285 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756410",
            "telephone_number": "786-536-5358",
            "fax_number": "786-536-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14285 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756410",
            "telephone_number": "786-536-5358",
            "fax_number": "786-536-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "WYNDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-536-5358"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH28069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144753",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Miami, FL
• Providers in Miami, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.