Wellness RX at Penalver LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH 25805 Issued in FL

Legal business name

WELLNESS RX AT PENALVER LLC

Doing business as

Wellness RX at Penalver

Practice address

971 NW 2ND St
Miami, FL 33128-1205

Phone

(305) 545-4860

Fax

(305) 545-4867

NPI assigned

Dec 5, 2011

Organization subpart

No

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

Authorized official

Name

Angel Garcia

Title

Pharmacy Manager

Phone

(305) 545-4860

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wellness RX at Penalver Doing business as

Locations

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1356619456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 NW 2ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331281205",
            "telephone_number": "305-545-4860",
            "fax_number": "305-545-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 NW 2ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331281205",
            "telephone_number": "305-545-4860",
            "fax_number": "305-545-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS RX AT PENALVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "305-545-4860"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH 25805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5708346",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness RX at Penalver",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Apr 16, 2012; 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.