Organization Active NPI

Pharmacy One Inc

  • Durable Medical Equipment & Medical Supplies
  • Miami, FL
National Provider Identifier
1346446531
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
PH17820 Issued in FL
Legal business name
PHARMACY ONE INC
Practice address
2505 NW 54TH St
Miami, FL 33142-2947
Phone
(305) 637-8311
Fax
(305) 637-8227
NPI assigned
Jun 25, 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
Dr. Shereen H Abdoh
Title
Pharmacy Manager
Phone
(305) 637-8311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PH17820 FL Primary

Addresses

Primary practice location

2505 NW 54TH St
Miami, FL 33142-2947

Mailing address

2505 NW 54TH St
Miami, FL 33142-2947
Phone (305) 637-8311

Other identifiers 2

IdentifierTypeStateIssuer
1092725OtherFLNABP
0226653001MedicaidFL

Other names 1

  • Roberts Drug Store #3 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pharmacy One Inc2 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": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346446531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 NW 54TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331422947",
            "telephone_number": "305-637-8311",
            "fax_number": "305-637-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 NW 54TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331422947",
            "telephone_number": "305-637-8311",
            "fax_number": "305-637-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY ONE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABDOH",
        "authorized_official_first_name": "SHEREEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "305-637-8311",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PH17820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1092725",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0226653001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roberts Drug Store #3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.