Active NPI
Real Pharmacy Inc
- Community/Retail Pharmacy
- Miami, FL
National Provider Identifier
1376038554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH31510
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH31510 | Other | FL | STATE LICENSE |
Other names 1
- Real Pharmacy Inc
National Provider Directory
National Provider DirectoryLocations
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.