Active NPI
Willson Pharmacy Inc
- Community/Retail Pharmacy
- Miami, FL
National Provider Identifier
1366770901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH24657
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1050640 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Willson Pharmacy Inc
National Provider Directory
National Provider DirectoryLocations
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.