Organization Active NPI

Magna Empire Group Inc

Doing business as Coral West Pharmacy

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1215191952
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH23405 Issued in FL
Legal business name
MAGNA EMPIRE GROUP INC
Doing business as
Coral West Pharmacy
Practice address
2406 SW 137TH Ave
2406 SW 137TH Ave
Miami, FL 33175-6311
Phone
(305) 227-1174
Fax
(305) 227-1171
NPI assigned
Jul 11, 2008
Last updated
Jul 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Authorized official

Name
Nohari Martinez, BA
Title
Pres
Phone
(305) 227-1174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH23405 FL Primary

Addresses

Primary practice location

2406 SW 137TH Ave
2406 SW 137TH Ave
Miami, FL 33175-6311

Mailing address

2406 SW 137TH Ave
2406 SW 137TH Ave
Miami, FL 33175-6311
Phone (305) 227-1174

Other identifiers 2

IdentifierTypeStateIssuer
000230200MedicaidFL
1036260OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • CORAL WEST PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2406 SW 137th Ave
Miami, FL 33175
Phone (305) 227-1174

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1215191952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 SW 137TH AVE",
            "address_2": "2406 SW 137TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756311",
            "telephone_number": "305-227-1174",
            "fax_number": "305-227-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 SW 137TH AVE",
            "address_2": "2406 SW 137TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756311",
            "telephone_number": "305-227-1174",
            "fax_number": "305-227-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNA EMPIRE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "NOHARI",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "305-227-1174",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000230200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1036260",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORAL WEST 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 Jul 18, 2012; 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.