Organization Active NPI

Desam Phamracy Group LLC

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1265670806
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH23774 Issued in FL
Legal business name
DESAM PHAMRACY GROUP LLC
Practice address
12486 SW 8TH St
Miami, FL 33184-1400
Phone
(305) 551-8714
Fax
(305) 551-8715
NPI assigned
Feb 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Authorized official

Name
Yolexis Rodriguez
Title
President
Phone
(305) 551-8714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH23774 FL Primary

Addresses

Primary practice location

12486 SW 8TH St
Miami, FL 33184-1400

Mailing address

12486 SW 8TH St
Miami, FL 33184-1400
Phone (305) 551-8714

Other identifiers 1

IdentifierTypeStateIssuer
1049306OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MAHAS PHARMACY 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": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1265670806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12486 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841400",
            "telephone_number": "305-551-8714",
            "fax_number": "305-551-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12486 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841400",
            "telephone_number": "305-551-8714",
            "fax_number": "305-551-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESAM PHAMRACY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "YOLEXIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-551-8714"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1049306",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAHAS PHARMACY",
            "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 Oct 9, 2009; 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.