Organization Active NPI

Polaris Pharmacy Corp

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1366508251
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH17233 Issued in FL
Legal business name
POLARIS PHARMACY CORP
Doing business as
LIMAS PHARMACY
Practice address
10845 SW 40TH St
Miami, FL 33165-4410
Phone
(305) 485-8787
Fax
(305) 554-6320
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Yader Padilla
Title
President
Phone
(305) 485-8787

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH17233 FL Primary

Addresses

Primary practice location

10845 SW 40TH St
Miami, FL 33165-4410

Mailing address

10845 SW 40TH St
Miami, FL 33165-4410
Phone (305) 485-8787

Other identifiers 2

IdentifierTypeStateIssuer
1089766OtherNCPDP PROVIDER IDENTIFICATION NUMBER
026531400MedicaidFL

Other names 1

  • LIMAS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

10845 SW 40th St
Miami, FL 33165
Phone (305) 485-8787

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1366508251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10845 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654410",
            "telephone_number": "305-485-8787",
            "fax_number": "305-554-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10845 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654410",
            "telephone_number": "305-485-8787",
            "fax_number": "305-554-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "YADER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-485-8787"
    },
    "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": "PH17233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1089766",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026531400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIMAS PHARMACY",
            "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 Jun 16, 2010; 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.