Penate Pharmacy LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PENATE PHARMACY LLC

Practice address

995 N Miami Beach Blvd
North Miami Beach, FL 33162-3721

Phone

(786) 272-9170

NPI assigned

Jun 15, 2022

Last updated

Jun 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Luis Penate, MD

Title

MGRM

Phone

(786) 272-9170

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1265162820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 SW 117TH AVE STE 112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834825",
            "telephone_number": "786-272-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 N MIAMI BEACH BLVD",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623721",
            "telephone_number": "786-272-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENATE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "PENATE",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "786-272-9170",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "humanresources@penatemc.com",
            "affiliation": "N",
            "endpointDescription": "internal email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8200 SW 117th Ave Ste 112",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331834825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hector Gregorio Peguero de Leon
• Clara Peicher de Fleischer, LMHC
• Jesse Shane Pelletier, MD
• Penate Adult Daycare 5 LLC
• Penate Medical Center 5 LLC
• Chantal C Penn
• Penstar Family Wellness Inc
• Suzie Perard-Francois
• Innia Suley Pereira
• Lilibet Perez Castillo, RBT

• Clinic/Center in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.