Active NPI
Raymond Pharmacy Corp
- Community/Retail Pharmacy
- Miami, FL
National Provider Identifier
1205869914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH21524
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 031191000 | Medicaid | FL | |
| 031191001 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.