Active NPI
Desam Phamracy Group LLC
- Community/Retail Pharmacy
- Miami, FL
National Provider Identifier
1265670806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH23774
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1049306 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- MAHAS PHARMACY
National Provider Directory
National Provider DirectoryNPI 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.