Organization Active NPI

La Reina Pharmacy Inc

  • Pharmacy
  • Miami, FL
National Provider Identifier
1316086705
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH6818 Issued in FL
Legal business name
LA REINA PHARMACY INC
Practice address
455 SW 17 Ave
Miami, FL 33135
Phone
(305) 643-6676
NPI assigned
Feb 5, 2007
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
Mr. Sergio Garcia
Title
VP
Phone
(350) 643-6676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH6818 FL Primary

Addresses

Primary practice location

455 SW 17 Ave
Miami, FL 33135

Mailing address

455 SW 17 Ave
Miami, FL 33135
Phone (305) 643-6676

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316086705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SW 17 AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33135",
            "telephone_number": "305-643-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SW 17 AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33135",
            "telephone_number": "305-643-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA REINA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "350-643-6676",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH6818",
            "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.