Organization Active NPI

Youth Pharmacy Inc

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1386939072
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH25480 Issued in FL
Legal business name
YOUTH PHARMACY INC
Practice address
10788 SW 24TH St
Miami, FL 33165-2499
Phone
(305) 220-2848
Fax
(305) 220-2849
NPI assigned
Jun 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Authorized official

Name
Mr. Maximo E Guillen
Title
President
Phone
(305) 220-2848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH25480 FL Primary

Addresses

Primary practice location

10788 SW 24TH St
Miami, FL 33165-2499

Mailing address

10788 SW 24TH St
Miami, FL 33165-2499
Phone (305) 220-2848

Other identifiers 1

IdentifierTypeStateIssuer
25480OtherFLFLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1386939072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10788 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652499",
            "telephone_number": "305-220-2848",
            "fax_number": "305-220-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10788 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652499",
            "telephone_number": "305-220-2848",
            "fax_number": "305-220-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "GUILLEN",
        "authorized_official_first_name": "MAXIMO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-220-2848",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLA",
            "identifier": "25480",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 25, 2013; 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.