Organization Active NPI

Tarara Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1306820345
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH1848 Issued in FL
Legal business name
TARARA PHARMACY, INC.
Practice address
1160 W Flagler St
Miami, FL 33130-1034
Phone
(305) 545-7561
Fax
(305) 545-0505
NPI assigned
Dec 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Authorized official

Name
Jose M Corteguera
Title
President
Phone
(305) 545-7561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH1848 FL Primary

Addresses

Primary practice location

1160 W Flagler St
Miami, FL 33130-1034

Mailing address

1160 W Flagler St
Miami, FL 33130-1034
Phone (305) 545-7561

Other identifiers 2

IdentifierTypeStateIssuer
102105200MedicaidFL
PH0001848OtherFLSTATE LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

1160 W Flagler St
Miami, FL 33130
Phone (305) 545-7561

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1306820345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331301034",
            "telephone_number": "305-545-7561",
            "fax_number": "305-545-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331301034",
            "telephone_number": "305-545-7561",
            "fax_number": "305-545-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARARA PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "CORTEGUERA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-545-7561"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH1848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102105200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PH0001848",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.