Organization Active NPI

San Martin's Pharmacy Inc

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1215014949
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
20780 Issued in FL
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
102883900MedicaidFL
102883901MedicaidFL
1074183OtherFLNABP #

Other names 1

  • Medicine Shoppe Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medicine Shoppe2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.