NPIMap

Organization Active NPI

My Pharmacy Closed Door Pharmacy

  • Long Term Care Pharmacy
  • Palmetto Bay, FL
National Provider Identifier
1386837870
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PH19817 Issued in FL
Legal business name
MY PHARMACY CLOSED DOOR PHARMACY
Practice address
15043 S Dixie Hwy
Suite a
Palmetto Bay, FL 33176-7930
Phone
(305) 238-2474
Fax
(305) 252-4196
NPI assigned
Aug 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Mr. Orin Elbert Smith Jr., R.PH.
Title
Sec Tres
Phone
(305) 238-2474

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PH19817 FL
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X PH19817 FL
Home Infusion Therapy Pharmacy 3336H0001X PH19817 FL
Long Term Care Pharmacy 3336L0003X PH19817 FL Primary

Addresses

Primary practice location

15043 S Dixie Hwy
Suite a
Palmetto Bay, FL 33176-7930

Mailing address

15043 S Dixie Hwy
Suite a
Palmetto Bay, FL 33176-7930
Phone (305) 238-2474

National Provider Directory

National Provider Directory
Tax ID family
My Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15043 S Dixie Hwy
Ste A
Palmetto Bay, FL 33176
Phone (305) 238-2474

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1386837870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15043 S DIXIE HWY",
            "address_2": "SUITE A",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331767930",
            "telephone_number": "305-238-2474",
            "fax_number": "305-252-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15043 S DIXIE HWY",
            "address_2": "SUITE A",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331767930",
            "telephone_number": "305-238-2474",
            "fax_number": "305-252-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PHARMACY CLOSED DOOR PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ORIN",
        "authorized_official_middle_name": "ELBERT",
        "authorized_official_title_or_position": "SEC TRES",
        "authorized_official_telephone_number": "305-238-2474",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PH19817",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "FL",
            "license": "PH19817",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "FL",
            "license": "PH19817",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH19817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.