Ebony Drugs LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH23876 Issued in FL

Legal business name

EBONY DRUGS LLC

Doing business as

Ebony Drugs LLC

Practice address

6666 NW 15TH Ave
Miami, FL 33147-7967

Phone

(305) 693-8886

Fax

(305) 836-1657

NPI assigned

Feb 3, 2009

Organization subpart

No

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

Authorized official

Name

Herman Howard

Title

RPH

Phone

(305) 693-8886

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ebony Drugs LLC Doing business as

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1245478924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6666 NW 15TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331477967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6666 NW 15TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331477967",
            "telephone_number": "305-693-8886",
            "fax_number": "305-836-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBONY DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "305-693-8886"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1042744",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ebony Drugs LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Miami, FL
• Providers in Miami, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.