Organization Active NPI

Ilva Pharmacy Inc

  • Community/Retail Pharmacy
  • Hialeah Gardens, FL
National Provider Identifier
1255513545
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH23100 Issued in FL
Legal business name
ILVA PHARMACY INC
Doing business as
Ilva Pharmacy Inc
Practice address
10550 NW 77TH CT
Ste 303
Hialeah Gardens, FL 33016-7084
Phone
(305) 821-8881
Fax
(305) 821-8851
NPI assigned
Nov 29, 2007
Last updated
Jun 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Authorized official

Name
Janet De la Cruz
Title
President
Phone
(305) 519-1577

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X PH23100 FL Primary

Addresses

Primary practice location

10550 NW 77TH CT
Ste 303
Hialeah Gardens, FL 33016-7084

Mailing address

10550 NW 77TH CT
Ste 303
Hialeah Gardens, FL 33016-7084
Phone (305) 821-8881

Other identifiers 1

IdentifierTypeStateIssuer
1032084OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • ILVA PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Locations

10550 NW 77th Ct
Ste 303
Miami Lakes, FL 33016
Phone (305) 556-6559

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1255513545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 NW 77TH CT",
            "address_2": "STE 303",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330167084",
            "telephone_number": "305-821-8881",
            "fax_number": "305-821-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 NW 77TH CT",
            "address_2": "STE 303",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330167084",
            "telephone_number": "305-821-8881",
            "fax_number": "305-821-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILVA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-519-1577"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1032084",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ILVA PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.