Organization Active NPI

Pac Shores Pharmacy, LLC

  • Community/Retail Pharmacy
  • Miami Shores, FL
National Provider Identifier
1275958274
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH27571 Issued in FL
Legal business name
PAC SHORES PHARMACY, LLC
Practice address
9416 NE 2ND Ave
Miami Shores, FL 33138-2703
Phone
(786) 313-3018
Fax
(786) 334-5659
NPI assigned
Feb 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Authorized official

Name
Sapna Charania, PHARM.D
Title
Pharmacy Manager
Phone
(786) 313-3018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH27571 FL Primary

Addresses

Primary practice location

9416 NE 2ND Ave
Miami Shores, FL 33138-2703

Mailing address

9416 NE 2ND Ave
Miami Shores, FL 33138-2703
Phone (786) 313-3018

Other names 1

  • Shores Village Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

9416 N E 2ND Ave
Miami Shores, FL 33138
Phone (786) 313-3018

NPI Registry JSON

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1275958274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9416 NE 2ND AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382703",
            "telephone_number": "786-313-3018",
            "fax_number": "786-334-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9416 NE 2ND AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382703",
            "telephone_number": "786-313-3018",
            "fax_number": "786-334-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAC SHORES PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "CHARANIA",
        "authorized_official_first_name": "SAPNA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "786-313-3018",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH27571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shores Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.