Organization Active NPI

Willson Pharmacy Inc

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1366770901
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH24657 Issued in FL
Legal business name
WILLSON PHARMACY INC
Practice address
2183 SW 1St St
Miami, FL 33135-1636
Phone
(305) 644-2929
Fax
(305) 644-2329
NPI assigned
Nov 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Carlos Talavera
Title
Owner
Phone
(305) 644-2929

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH24657 FL Primary

Addresses

Primary practice location

2183 SW 1St St
Miami, FL 33135-1636

Mailing address

2183 SW 1St St
Miami, FL 33135-1636
Phone (305) 644-2929

Other identifiers 1

IdentifierTypeStateIssuer
1050640OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Willson Pharmacy Inc Doing business as

National Provider Directory

National Provider Directory

Locations

2183 SW 1st St
Miami, FL 33135
Phone (305) 644-2929

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1366770901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2183 SW 1ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351636",
            "telephone_number": "305-644-2929",
            "fax_number": "305-644-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2183 SW 1ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351636",
            "telephone_number": "305-644-2929",
            "fax_number": "305-644-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLSON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "TALAVERA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-644-2929"
    },
    "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": "PH24657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1050640",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willson Pharmacy 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 Oct 19, 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.