Organization Active NPI

Great Care Pharmacy Inc

Doing business as Great Care Pharmacy #2

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1255683835
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH30698 Issued in FL
Legal business name
GREAT CARE PHARMACY INC
Doing business as
Great Care Pharmacy #2
Practice address
2505 NW 54TH St
Miami, FL 33142-2947
Phone
(305) 636-2994
Fax
(305) 636-2899
NPI assigned
Oct 8, 2012
Last updated
Apr 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Emmanuel Nwofor
Title
President/Pharmacy Manager
Phone
(954) 249-9235

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH30698 FL Primary

Addresses

Primary practice location

2505 NW 54TH St
Miami, FL 33142-2947

Mailing address

2505 NW 54TH St
Miami, FL 33142-2947
Phone (305) 636-2994

Other identifiers 2

IdentifierTypeStateIssuer
007189100MedicaidFL
2137283OtherPK

Other names 1

  • GREAT CARE PHARMACY #2 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": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1255683835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 NW 54TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331422947",
            "telephone_number": "305-636-2994",
            "fax_number": "305-636-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 NW 54TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331422947",
            "telephone_number": "305-636-2994",
            "fax_number": "305-636-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "NWOFOR",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACY MANAGER",
        "authorized_official_telephone_number": "954-249-9235"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH30698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007189100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137283",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREAT CARE PHARMACY #2",
            "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 Apr 13, 2017; 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.