Organization Active NPI

Navarro Discount Pharmacies No. 24 LLC

  • Community/Retail Pharmacy
  • Hollywood, FL
National Provider Identifier
1235319211
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NAVARRO DISCOUNT PHARMACIES NO. 24 LLC
Practice address
2323 N 60TH Ave
Hollywood, FL 33021-3203
Phone
(305) 636-7779
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Aurea Maria Leal
Title
RX Manager
Phone
(305) 636-7779

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 032305501 FL
Durable Medical Equipment & Medical Supplies 332B00000X 032305500 FL
Pharmacy 333600000X 1030268 FL
Pharmacy 333600000X PH0023055 FL
Pharmacy 333600000X 6099000001 FL
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2323 N 60TH Ave
Hollywood, FL 33021-3203

Mailing address

9400 NW 104TH Street
Medley, FL 33178-1333
Phone (305) 636-7779

Other identifiers 3

IdentifierTypeStateIssuer
032305500MedicaidFL
032305501MedicaidFL
1030268OtherFLNCPDP

Other names 1

  • Navarro Discount Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1235319211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 NW 104TH STREET",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331781333",
            "telephone_number": "305-636-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 N 60TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213203",
            "telephone_number": "305-636-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVARRO DISCOUNT PHARMACIES NO. 24 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "LEAL",
        "authorized_official_first_name": "AUREA MARIA",
        "authorized_official_title_or_position": "RX MANAGER",
        "authorized_official_telephone_number": "305-636-7779"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "032305501",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "032305500",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "1030268",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH0023055",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "6099000001",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032305500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032305501",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1030268",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Navarro Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.