Active NPI
Avalon Pharmacy Corp
- Pharmacy
- Miami, FL
National Provider Identifier
1255693271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- AVALON PHARMACY CORP
- Practice address
- 4993 SW 74TH CT
Suite a
Miami, FL 33155-4471 - Phone
- (305) 740-5336
- Fax
- (305) 740-5337
- NPI assigned
- Jun 14, 2012
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Elsa Zamora
- Title
- President
- Phone
- (305) 740-5336
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | FL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4993 SW 74TH CT
Suite a
Miami, FL 33155-4471
Mailing address
4993 SW 74TH CT
Suite a
Miami, FL 33155-4471
Phone (305) 740-5336
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1056 | Other | FL | DOC NUMB |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 14, 2012.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339632000000",
"number": "1255693271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4993 SW 74TH CT",
"address_2": "SUITE A",
"city": "MIAMI",
"state": "FL",
"postal_code": "331554471",
"telephone_number": "305-740-5336",
"fax_number": "305-740-5337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4993 SW 74TH CT",
"address_2": "SUITE A",
"city": "MIAMI",
"state": "FL",
"postal_code": "331554471",
"telephone_number": "305-740-5336",
"fax_number": "305-740-5337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVALON PHARMACY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-14",
"last_updated": "2012-06-14",
"status": "A",
"authorized_official_last_name": "ZAMORA",
"authorized_official_first_name": "ELSA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-740-5336"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOC NUMB",
"identifier": "1056",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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 Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.