Organization Active NPI

Oncology Specialty Pharmacy, LLC

  • Pharmacy
  • Miami Lakes, FL
National Provider Identifier
1407938897
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH 21135 Issued in FL
Legal business name
ONCOLOGY SPECIALTY PHARMACY, LLC
Doing business as
Baptist Health Specialty Pharmacy
Practice address
14412 Commerce Way
Miami Lakes, FL 33016-1508
Phone
(786) 527-8200
Fax
(305) 279-7068
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Mrs. Madeline CamejoNPI 1164183745
Title
VP of Pharmacy
Phone
(786) 662-7111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH 21135 FL Primary

Addresses

Primary practice location

14412 Commerce Way
Miami Lakes, FL 33016-1508

Mailing address

14412 Commerce Way
Miami Lakes, FL 33016-1508
Phone (786) 527-8200

Other identifiers 1

IdentifierTypeStateIssuer
013909300MedicaidFL

Other names 1

  • Baptist Health Specialty Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190918000363 FL DME Supplier - Pharmacy 1951631977 Practice locations: Miami Lakes, FL

National Provider Directory

National Provider Directory
Tax ID family
Oncology Specialty Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

14412 Commerce Way
Miami Lakes, FL 33016
Phone (786) 527-8200

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1407938897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14412 COMMERCE WAY",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161508",
            "telephone_number": "786-527-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14412 COMMERCE WAY",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161508",
            "telephone_number": "786-527-8200",
            "fax_number": "305-279-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCOLOGY SPECIALTY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "CAMEJO",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_title_or_position": "VP OF PHARMACY",
        "authorized_official_telephone_number": "786-662-7111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH 21135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013909300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Health Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.