Organization Active NPI

La Botica Pharmacy Inc No2

  • Community/Retail Pharmacy
  • Hialeah, FL
National Provider Identifier
1356753818
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH28169 Issued in FL
Legal business name
LA BOTICA PHARMACY INC NO2
Doing business as
La Botica Pharmacy Inc No2
Practice address
1159 W 29TH St
Hialeah, FL 33012-5063
Phone
(786) 360-2589
Fax
(786) 542-0279
NPI assigned
Jun 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Authorized official

Name
Yamil Garcia
Title
Owner
Phone
(786) 873-9108

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH28169 FL Primary

Addresses

Primary practice location

1159 W 29TH St
Hialeah, FL 33012-5063

Mailing address

1159 W 29TH St
Hialeah, FL 33012-5063
Phone (786) 360-2589

Other identifiers 1

IdentifierTypeStateIssuer
2146043OtherPK

Other names 1

  • La Botica Pharmacy Inc No2 Doing business as

National Provider Directory

National Provider Directory

Locations

1159 W 29th St
Hialeah, FL 33012
Phone (786) 360-2589

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1356753818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 W 29TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125063",
            "telephone_number": "786-360-2589",
            "fax_number": "786-542-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 W 29TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125063",
            "telephone_number": "786-360-2589",
            "fax_number": "786-542-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA BOTICA PHARMACY INC NO2",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "YAMIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-873-9108"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH28169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146043",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Botica Pharmacy Inc No2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.