Price Choice Pharmacy 2

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH25613 Issued in FL

Legal business name

PRICE CHOICE PHARMACY 2

Doing business as

Price Choice Pharmacy 2

Practice address

4500 NW 183Rd St
Miami Gardens, FL 33055-3045

Phone

(305) 517-1412

Fax

(305) 851-3104

NPI assigned

Aug 16, 2011

Organization subpart

No

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

Authorized official

Name

Emerson Molina

Title

Managing Member

Phone

(305) 517-1412

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Price Choice Pharmacy 2 Doing business as

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1407135890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 NW 183RD ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330553045",
            "telephone_number": "305-517-1412",
            "fax_number": "305-851-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 NW 183RD ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330553045",
            "telephone_number": "305-517-1412",
            "fax_number": "305-851-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRICE CHOICE PHARMACY 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "EMERSON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "305-517-1412"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH25613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5707572",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Price Choice Pharmacy 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.