St Moses Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH26352 Issued in FL

Legal business name

ST MOSES PHARMACY CORP

Practice address

11629 SW 216TH St
Miami, FL 33170-2908

Phone

(305) 969-9193

Fax

(305) 969-9392

NPI assigned

Jan 28, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Hannet Jure

Title

President

Phone

(305) 244-1999

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1306184205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11629 SW 216TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331702908",
            "telephone_number": "305-969-9193",
            "fax_number": "305-969-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11629 SW 216TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331702908",
            "telephone_number": "305-969-9193",
            "fax_number": "305-969-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MOSES PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "JURE",
        "authorized_official_first_name": "HANNET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-244-1999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Jude Medical Group Corp
• St Jude Medical Group Corp
• St Jude Medical Group Corp
• Vasthie St Juste, PHARMACIST, PHARM.D.
• St Mary Adult Care
• Joan Elizabeth St Onge, M.D.
• Theresa Gloria St Philippe, ARNP
• St Rita'S Health Group LLC
• St Rita'S Home Health LLC
• St Sophia Medical Staffing Corp

• 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 Jan 28, 2013; 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.