Western Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH28231 Issued in FL

Legal business name

WESTERN PHARMACY CORP

Doing business as

WESTERN PHARMACY CORP

Practice address

1609 SW 67TH Ave
Miami, FL 33155-1827

Phone

(786) 536-7847

Fax

(786) 536-7675

NPI assigned

May 17, 2014

Organization subpart

No

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

Authorized official

Name

Duvall Garrido

Title

President

Phone

(305) 469-7756

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WESTERN PHARMACY CORP Doing business as

Locations

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

{
    "created_epoch": "1400284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1285045732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 SW 67TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551827",
            "telephone_number": "786-536-7847",
            "fax_number": "786-536-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 SW 67TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551827",
            "telephone_number": "786-536-7847",
            "fax_number": "786-536-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-17",
        "last_updated": "2014-09-12",
        "status": "A",
        "authorized_official_last_name": "GARRIDO",
        "authorized_official_first_name": "DUVALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-469-7756"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH28231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146271",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTERN PHARMACY CORP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Miami, FL
• Providers in Miami, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.