Organization Active NPI

CTM Pharmacy Inc

  • Pharmacy
  • Cutler Bay, FL
National Provider Identifier
1407123854
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH25788 Issued in FL
Legal business name
CTM PHARMACY INC
Doing business as
CTM PHARMACY INC
Practice address
18901 SW 106TH Ave Ste 143
Cutler Bay, FL 33157-7663
Phone
(305) 252-2056
Fax
(305) 252-2057
NPI assigned
Nov 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Authorized official

Name
Jose Azahares
Title
Owner
Phone
(305) 252-2056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH25788 FL Primary

Addresses

Primary practice location

18901 SW 106TH Ave Ste 143
Cutler Bay, FL 33157-7663

Mailing address

18901 SW 106TH Ave Ste 143
Cutler Bay, FL 33157-7663
Phone (305) 252-2056

Other identifiers 1

IdentifierTypeStateIssuer
2132812OtherPK

Other names 1

  • CTM PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Locations

18901 SW 106th Ave
Ste 143
Cutler Bay, FL 33157
Phone (305) 252-2056

NPI Registry JSON

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1407123854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18901 SW 106TH AVE STE 143",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577663",
            "telephone_number": "305-252-2056",
            "fax_number": "305-252-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18901 SW 106TH AVE STE 143",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577663",
            "telephone_number": "305-252-2056",
            "fax_number": "305-252-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CTM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "AZAHARES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-252-2056"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH25788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132812",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CTM PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.