Organization Active NPI

Raymond Pharmacy Corp

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1205869914
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH21524 Issued in FL
Legal business name
RAYMOND PHARMACY CORP
Practice address
15740 SW 72ND St
Miami, FL 33193-5060
Phone
(305) 752-5377
Fax
(305) 752-5388
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Mr. Armando Rodriguez
Title
Representative
Phone
(305) 752-5377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH21524 FL Primary

Addresses

Primary practice location

15740 SW 72ND St
Miami, FL 33193-5060

Mailing address

15740 SW 72ND St
Miami, FL 33193-5060
Phone (305) 752-5377

Other identifiers 2

IdentifierTypeStateIssuer
031191000MedicaidFL
031191001MedicaidFL

National Provider Directory

National Provider Directory

Locations

15740 SW 72nd St
Miami, FL 33193
Phone (305) 752-5377

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1205869914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15740 SW 72ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935060",
            "telephone_number": "305-752-5377",
            "fax_number": "305-752-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15740 SW 72ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935060",
            "telephone_number": "305-752-5377",
            "fax_number": "305-752-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_title_or_position": "REPRESENTATIVE",
        "authorized_official_telephone_number": "305-752-5377",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH21524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031191000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031191001",
            "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 Jun 25, 2008; 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.