Costa Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

COSTA PHARMACY

Practice address

4055 NW 97TH Ave Ste 110
Doral, FL 33178-2911

Phone

(305) 439-0318

NPI assigned

Aug 17, 2023

Organization subpart

No

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

Authorized official

Name

Amanda Cruz, PHARMDNPI 1457134074

Title

Pharmacy Director

Phone

(305) 439-0318

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Maria Cruz, PHARMD

  • Pharmacist
  • Doral, FL
  • NPI 1457134074
  NPD Authorized official

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1285417709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 NW 97TH AVE STE 110",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 NW 97TH AVE STE 110",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782911",
            "telephone_number": "305-439-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "305-439-0318",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Cortes
• Angelica Cortina
• Oscar Gabriel Cortina
• Yasiel Corzo Montes de Oca
• Daniela Cosme
• Maria Costales
• Heriberto Cotto Jr.
• Julisamar Cotto, OTR/L
• Counseling and Behavioral Therapy LLC
• Counseling Assessments and Therapeutic Services LLC

• Pharmacy in Doral, FL
• Providers in Doral, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.