Alder Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH25356 Issued in FL

Legal business name

ALDER PHARMACY LLC

Doing business as

Alder Pharmacy

Practice address

729 NE 79TH St
Miami, FL 33138-4711

Phone

(305) 999-1469

Fax

(305) 999-1527

NPI assigned

Mar 18, 2011

Organization subpart

No

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

Authorized official

Name

Olaf Estevez-GonzalezNPI 1942803424

Title

Pharmacist/PDM

Phone

(305) 999-1469

Specialties & licenses 7

Addresses

Other identifiers 2

Other names 1

• ALDER PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olaf Estevez Gonzalez, RPH

  • Pharmacist
  • Miami, FL
  • NPI 1942803424
  NPD Authorized official

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1336448182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 NE 79TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331384711",
            "telephone_number": "305-999-1469",
            "fax_number": "305-999-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 NE 79TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331384711",
            "telephone_number": "305-999-1469",
            "fax_number": "305-999-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "ESTEVEZ-GONZALEZ",
        "authorized_official_first_name": "OLAF",
        "authorized_official_title_or_position": "PHARMACIST/PDM",
        "authorized_official_telephone_number": "305-999-1469"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25356",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129596",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003701600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALDER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clara Isabel Aldas
• Eneidis Aldaz, RBT
• Renzo Alderete, APRN
• Ellen M Alderman
• Matison Alderman, MD
• Juan Pablo Alderuccio, MD
• Aldesi of Florida, Inc.

• 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 Mar 9, 2015; 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.