NPIMap

Organization Active NPI

Public Health Trust of Dade County Florida

Doing business as North Dade Health Center Pharmacy

  • Clinic Pharmacy
  • Opa Locka, FL
National Provider Identifier
1295806016
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PH23948 Issued in FL
Legal business name
PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA
Doing business as
North Dade Health Center Pharmacy
Practice address
16555 NW 25TH Ave
Opa Locka, FL 33054-6583
Phone
(786) 466-1735
Fax
(806) 242-0502
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Authorized official

Name
Steven Nemeroff
Title
Associate Director Pharmacy
Phone
(305) 585-6780

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X PH23948 FL Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

16555 NW 25TH Ave
Opa Locka, FL 33054-6583

Mailing address

PO Box 864781
Orlando, FL 32886-4781
Phone (806) 324-5507

Other identifiers 3

IdentifierTypeStateIssuer
104702701MedicaidFL
2011598OtherPK
104702700MedicaidFL

Other names 1

  • NORTH DADE HEALTH CENTER PHARMACY Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1295806016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 864781",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328864781",
            "telephone_number": "806-324-5507",
            "fax_number": "806-324-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16555 NW 25TH AVE",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330546583",
            "telephone_number": "786-466-1735",
            "fax_number": "806-242-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "NEMEROFF",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR PHARMACY",
        "authorized_official_telephone_number": "305-585-6780"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "FL",
            "license": "PH23948",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104702701",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2011598",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104702700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH DADE HEALTH CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTH DADE HEALTH CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Opa Locka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.