Mi Havana Pharmacy & Discount

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH19751 Issued in FL

Legal business name

MI HAVANA PHARMACY & DISCOUNT

Practice address

200 NW 27TH Ave
Miami, FL 33125-5116

Phone

(305) 631-0004

Fax

(305) 631-1880

NPI assigned

Jun 15, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Javier A Fernandez

Title

Owner

Phone

(305) 631-0004

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356346522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255116",
            "telephone_number": "305-631-0004",
            "fax_number": "305-631-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255116",
            "telephone_number": "305-631-0004",
            "fax_number": "305-631-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI HAVANA PHARMACY & DISCOUNT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-631-0004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PH19751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP/NCPDP",
            "identifier": "1002649",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Miami, FL
• Providers in Miami, FL by specialty
• Pharmacist in Florida

• 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.