Organization Active NPI

Burgos Pharmacy LLC

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1427696830
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BURGOS PHARMACY LLC
Practice address
9527 SW 40TH St
Miami, FL 33165-4035
Phone
(305) 374-9003
Fax
(305) 374-9034
NPI assigned
Dec 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Lilibet BurgosNPI 1588297410
Title
Pharmacy Manager
Phone
(305) 374-9003

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

9527 SW 40TH St
Miami, FL 33165-4035

Mailing address

9527 SW 40TH St
Miami, FL 33165-4035
Phone (305) 374-9003

Other identifiers 1

IdentifierTypeStateIssuer
8196810001OtherFLMEDICARE NSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200805002504 FL Part B Supplier - Pharmacy 0446675664 Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

9527 SW 40th St
Miami, FL 33165
Phone (305) 374-9003

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

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": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1427696830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9527 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654035",
            "telephone_number": "305-374-9003",
            "fax_number": "305-374-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9527 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654035",
            "telephone_number": "305-374-9003",
            "fax_number": "305-374-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURGOS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "BURGOS",
        "authorized_official_first_name": "LILIBET",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "305-374-9003"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "8196810001",
            "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 May 22, 2024; 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.