Organization Active NPI

Evenecer Pharmacy Corp

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1316026479
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH22344 Issued in FL
Legal business name
EVENECER PHARMACY CORP
Practice address
441 NW 12TH Ave
Miami, FL 33128-1020
Phone
(305) 324-9395
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Yisell Perez
Title
Owner
Phone
(305) 324-9395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH22344 FL Primary

Addresses

Primary practice location

441 NW 12TH Ave
Miami, FL 33128-1020

Mailing address

441 NW 12TH Ave
Miami, FL 33128-1020
Phone (305) 324-9395

National Provider Directory

National Provider Directory
Tax ID family
Evenecer Pharmacy Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316026479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331281020",
            "telephone_number": "305-324-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331281020",
            "telephone_number": "305-324-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVENECER PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "YISELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-324-9395"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH22344",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 22, 2020; 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.