My Pharmacy of Bird Road Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

PH28703 Issued in FL

Legal business name

MY PHARMACY OF BIRD ROAD INC

Practice address

4000 SW 57TH Ave
Miami, FL 33155-5318

Phone

(305) 666-8582

Fax

(305) 666-9110

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Aurelio Collazo, BS PHARMACYNPI 1447241724

Title

President

Phone

(305) 666-8582

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• ALLEN'S MEDICAL Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aurelio J Collazo, R.PH.

  • Pharmacist
  • South Miami, FL
  • NPI 1447241724
  NPD (past) Authorized official

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1376540294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 SW 57TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555318",
            "telephone_number": "305-666-8582",
            "fax_number": "305-666-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SW 57TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555318",
            "telephone_number": "305-666-8582",
            "fax_number": "305-666-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PHARMACY OF BIRD ROAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "COLLAZO",
        "authorized_official_first_name": "AURELIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-666-8582",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PH28703",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2005251",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109383500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLEN'S MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• My New Oasis, LLC.
• My Own Therapist PLLC
• My Parent'S House Inc.
• My Peaceful Journey Counseling and Wellness Services, LLC
• My Pharmacy of Bird Road
• My Pharmacy, Inc.
• My Preferred Clinic LLC
• My Rehab Services, Corp
• My Roots of Life
• My School Psychologist, Inc

• Durable Medical Equipment & Medical Supplies in Miami, FL
• Providers in Miami, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.