Organization Active NPI

Avalon Pharmacy Corp

  • Pharmacy
  • Miami, FL
National Provider Identifier
1255693271
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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 Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X FL Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
1056OtherFLDOC 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.

Verify at the official NPI Registry.