Organization Active NPI

Real Pharmacy Inc

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1376038554
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH31510 Issued in FL
Legal business name
REAL PHARMACY INC
Practice address
455 SW 17TH Ave
Miami, FL 33135-3626
Phone
(786) 534-5952
Fax
(786) 534-7818
NPI assigned
Jun 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Authorized official

Name
Yanniel Gutierrez Miranda
Title
President
Phone
(786) 534-5952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH31510 FL Primary

Addresses

Primary practice location

455 SW 17TH Ave
Miami, FL 33135-3626

Mailing address

455 SW 17TH Ave
Miami, FL 33135-3626
Phone (786) 534-5952

Other identifiers 1

IdentifierTypeStateIssuer
PH31510OtherFLSTATE LICENSE

Other names 1

  • Real Pharmacy Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

455 SW 17th Ave
Miami, FL 33135
Phone (305) 643-6676

NPI Registry JSON

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1376038554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SW 17TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353626",
            "telephone_number": "786-534-5952",
            "fax_number": "786-534-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SW 17TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353626",
            "telephone_number": "786-534-5952",
            "fax_number": "786-534-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-29",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ MIRANDA",
        "authorized_official_first_name": "YANNIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-534-5952"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH31510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PH31510",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Real Pharmacy Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 6, 2019; 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.