Public Health Trust of Miami Dade County Florida
Organization Active NPI Institutional Pharmacy · Doral, FL
NPI 1346829702 · NPPES record last updated Apr 5, 2021
Key facts
- NPI
- 1346829702
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Institutional Pharmacy 3336I0012X
- Legal business name
- PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
- Practice address
- 2801 NW 79TH Ave
Doral, FL 33122-1174 - Phone
- (786) 466-1010
- NPI assigned
- Apr 5, 2021
- Organization subpart
- No
Authorized official
- Name
- Mark T Knight
- Title
- Evp/Cfo
- Phone
- (305) 585-7979
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Dianne M Parker MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Institutional Pharmacy | 3336I0012X | Yes |
Addresses
Primary practice location
2801 NW 79TH Ave
Doral, FL 33122-1174
Mailing address
PO Box 12493
Miami, FL 33101-2493
Phone (786) 466-8101
Other names
- JACKSON WEST PHARMACY INPATIENT/INSTITUTIONAL
NPI Registry JSON
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617580800000",
"number": "1346829702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12493",
"city": "MIAMI",
"state": "FL",
"postal_code": "331012493",
"telephone_number": "786-466-8101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 NW 79TH AVE",
"city": "DORAL",
"state": "FL",
"postal_code": "331221174",
"telephone_number": "786-466-1010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-05",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A",
"authorized_official_last_name": "KNIGHT",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "EVP/CFO",
"authorized_official_telephone_number": "305-585-7979"
},
"taxonomies": [
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JACKSON WEST PHARMACY INPATIENT/INSTITUTIONAL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Doral, FL
- Provider Network Solutions of Texas, LLC
- Psych Aid Corp
- Psychiatry Consultants & Auditors
- Public Health Trust of Dade County Florida
- Public Health Trust of Dade County, Florida
- Public Health Trust of Miami Dade County Florida
- Public Health Trust of Miami Dade County Florida
- Public Health Trust of Miami Dade County Florida
- Publix Super Markets Inc
- Publix Super Markets Inc
All providers in Doral, FL · Institutional Pharmacy in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.