Organization Active NPI

Vedado Pharmacy Corp

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1174870885
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH26284 Issued in FL
Legal business name
VEDADO PHARMACY CORP
Doing business as
Vedado Pharmacy Corp
Practice address
14637 SW 56TH St
Miami, FL 33175-5703
Phone
(305) 226-1452
Fax
(305) 226-1652
NPI assigned
Aug 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Jamian Rodriguez
Title
Manager
Phone
(305) 812-2507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH26284 FL Primary

Addresses

Primary practice location

14637 SW 56TH St
Miami, FL 33175-5703

Mailing address

14637 SW 56TH St
Miami, FL 33175-5703
Phone (305) 226-1452

Other identifiers 1

IdentifierTypeStateIssuer
2136456OtherPK

Other names 1

  • Vedado Pharmacy Corp Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1174870885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14637 SW 56TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331755703",
            "telephone_number": "305-226-1452",
            "fax_number": "305-226-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14637 SW 56TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331755703",
            "telephone_number": "305-226-1452",
            "fax_number": "305-226-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEDADO PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JAMIAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-812-2507"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136456",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vedado Pharmacy Corp",
            "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 Sep 24, 2013; 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.