Active NPI
South Point Pharmacy
- Long Term Care Pharmacy
- Miami, FL
National Provider Identifier
1265503445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PH19932
- Legal business name
- SOUTH POINT PHARMACY
- Practice address
- 1864 West Flagler Street
Miami, FL 33135 - Phone
- (305) 541-8699
- Fax
- (305) 541-8696
- NPI assigned
- Nov 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Nelson Suarez
- Title
- President
- Phone
- (305) 541-8699
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | PH19932 | FL | Primary |
Addresses
Primary practice location
1864 West Flagler Street
Miami, FL 33135
Mailing address
1864 West Flagler Street.
Miami, FL 33135
Phone (305) 541-8699
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026775900 | Medicaid | FL | |
| 026775901 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930086007 | FL | DME Supplier - Pharmacy | 0840408019 | Practice locations: Miami, FL |
National Provider Directory
National Provider DirectoryNetworks
- HealthSun Health Plans Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1525651200000",
"number": "1265503445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1864 WEST FLAGLER STREET.",
"city": "MIAMI",
"state": "FL",
"postal_code": "33135",
"telephone_number": "305-541-8699",
"fax_number": "305-541-8696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1864 WEST FLAGLER STREET",
"city": "MIAMI",
"state": "FL",
"postal_code": "33135",
"telephone_number": "305-541-8699",
"fax_number": "305-541-8696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH POINT PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-10",
"last_updated": "2018-05-07",
"status": "A",
"authorized_official_last_name": "SUAREZ",
"authorized_official_first_name": "NELSON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-541-8699",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "FL",
"license": "PH19932",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "026775900",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "026775901",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- South Pearl Clinical Center Inc
- South Pearl Clinical Center Inc.
- South Pharmacy Inc
- South Point Behavioral Solutions LLC
- South Point Medical Center Corp
- South Point Pharmacy Corp
- South Point Therapy Services Corp
- South Pointe Laboratories Inc.
- South Research Medical Inc
- South Sun Medical Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.