Organization Active NPI

Pumar Pharmacy Inc

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1194863944
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH8965 Issued in FL
Legal business name
PUMAR PHARMACY INC
Practice address
528 SW 109TH Ave
Miami, FL 33174-1336
Phone
(305) 552-0166
Fax
(305) 552-0168
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Authorized official

Name
Alex Frank Negrin
Title
Vice President
Phone
(305) 551-4177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH8965 FL Primary

Addresses

Primary practice location

528 SW 109TH Ave
Miami, FL 33174-1336

Mailing address

528 SW 109TH Ave
Miami, FL 33174-1336
Phone (305) 552-0166

Other identifiers 2

IdentifierTypeStateIssuer
1022007OtherOTHER ID NUMBER
101518400MedicaidFL

Other names 1

  • SWEETWATER PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

528 SW 109th Ave
Miami, FL 33174
Phone (305) 552-0166

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1194863944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 SW 109TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741336",
            "telephone_number": "305-552-0166",
            "fax_number": "305-552-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 SW 109TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741336",
            "telephone_number": "305-552-0166",
            "fax_number": "305-552-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUMAR PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "NEGRIN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-551-4177"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH8965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1022007",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101518400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SWEETWATER PHARMACY",
            "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 Aug 13, 2009; 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.