Active NPI
Christopher Jorges
- Pharmacy
- Miami Lakes, FL
National Provider Identifier
1326648510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PS54167
- Practice address
- 9300 NW 77TH Ave
Miami Lakes, FL 33016-2504 - Phone
- (305) 819-0858
- Fax
- (305) 819-6570
- NPI assigned
- Oct 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PS54167 | FL | Primary |
Addresses
Primary practice location
9300 NW 77TH Ave
Miami Lakes, FL 33016-2504
Mailing address
18124 SW 5TH CT
Pembroke Pines, FL 33029-4352
Phone (305) 469-7175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS54167 | FL | MD | Pharmacy |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1326648510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18124 SW 5TH CT",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330294352",
"telephone_number": "305-469-7175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 NW 77TH AVE",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330162504",
"telephone_number": "305-819-0858",
"fax_number": "305-819-6570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORGES",
"first_name": "CHRISTOPHER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-28",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "FL",
"license": "PS54167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.