Active NPI
San Martin's Pharmacy Inc
Doing business as Medicine Shoppe
- Community/Retail Pharmacy
- Miami, FL
National Provider Identifier
1215014949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 20780
- Legal business name
- SAN MARTIN'S PHARMACY INC
- Doing business as
- Medicine Shoppe
- Practice address
- 2255 SW 32ND Ave
Miami, FL 33145-3177 - Phone
- (305) 445-0033
- Fax
- (305) 445-8811
- NPI assigned
- Nov 1, 2006
- Last updated
- Mar 7, 2023
- 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
- Ms. Mercedes G Gonzalez
- Title
- Manager
- Phone
- (305) 445-0033
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20780 | FL | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 20780 | FL | Primary |
Addresses
Primary practice location
2255 SW 32ND Ave
Miami, FL 33145-3177
Mailing address
2255 SW 32ND Ave
Miami, FL 33145-3177
Phone (305) 445-0033
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102883900 | Medicaid | FL | |
| 102883901 | Medicaid | FL | |
| 1074183 | Other | FL | NABP # |
Other names 1
- Medicine Shoppe
National Provider Directory
National Provider Directory- Tax ID family
- Medicine Shoppe
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Miami, FL
- NPI 1659551422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1215014949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2255 SW 32ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331453177",
"telephone_number": "305-445-0033",
"fax_number": "305-445-8811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 SW 32ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331453177",
"telephone_number": "305-445-0033",
"fax_number": "305-445-8811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN MARTIN'S PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "MERCEDES",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "305-445-0033",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "20780",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "20780",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102883900",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102883901",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP #",
"identifier": "1074183",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medicine Shoppe",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Miami, FL
- Linda Susana San Martin, APRN, PMHNP
- Lisette San Martin, PTA
- Liz G San Martin, ARNP
- Maria San Martin, APRN
- Stephanie Anne San Martin, MD
- San Martin's Pharmacy Inc.
- San Miguel Community Wellness Center (San Miguel Health Center)
- San Miguel Community Wellness Center
- San Miguel Community Wellness Center
- San Miguel Community Wellness Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.