Active NPI
Navarro Discount Pharmacies No. 24 LLC
- Community/Retail Pharmacy
- Hollywood, FL
National Provider Identifier
1235319211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032305500 | Medicaid | FL | |
| 032305501 | Medicaid | FL | |
| 1030268 | Other | FL | NCPDP |
Other names 1
- Navarro Discount Pharmacy
National Provider Directory
National Provider DirectoryNPI 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.