Organization Active NPI

Excellence Pharmacy Discount Inc

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1356619209
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH26678 Issued in FL
Legal business name
EXCELLENCE PHARMACY DISCOUNT INC
Doing business as
Excellence Pharmacy Discount Inc
Practice address
12887 SW 42ND St
Miami, FL 33175-3435
Phone
(305) 846-9243
Fax
(305) 967-8744
NPI assigned
Dec 7, 2011
Last updated
Apr 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Authorized official

Name
Simon Palacio
Title
Owner
Phone
(305) 846-9243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH26678 FL Primary

Addresses

Primary practice location

12887 SW 42ND St
Miami, FL 33175-3435

Mailing address

12887 SW 42ND St
Miami, FL 33175-3435
Phone (305) 846-9243

Other identifiers 1

IdentifierTypeStateIssuer
2140091OtherPK

Other names 1

  • EXCELLENCE PHARMACY DISCOUNT INC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1356619209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12887 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753435",
            "telephone_number": "305-846-9243",
            "fax_number": "305-967-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12887 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753435",
            "telephone_number": "305-846-9243",
            "fax_number": "305-967-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENCE PHARMACY DISCOUNT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "PALACIO",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-846-9243"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140091",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXCELLENCE PHARMACY DISCOUNT INC",
            "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 Apr 26, 2013; 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.