La Milagrosa Pharmacy & Discount, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH25465 Issued in FL

Legal business name

LA MILAGROSA PHARMACY & DISCOUNT, LLC

Doing business as

La Milagrosa Pharmacy & Discount, LLC

Practice address

1690 NW 19TH Ter
Miami, FL 33125-1593

Phone

(786) 953-7156

Fax

(786) 953-7968

NPI assigned

May 23, 2011

Last updated

Feb 28, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maricela Nicolas

Title

President

Phone

(305) 545-1127

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• La Milagrosa Pharmacy & Discount, LLC Doing business as

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1437442530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 NW 19TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251593",
            "telephone_number": "786-953-7156",
            "fax_number": "786-953-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 NW 19TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251593",
            "telephone_number": "786-953-7156",
            "fax_number": "786-953-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA MILAGROSA PHARMACY & DISCOUNT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-23",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "NICOLAS",
        "authorized_official_first_name": "MARICELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-545-1127"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5705922",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Milagrosa Pharmacy & Discount, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Miami, FL
• Providers in Miami, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.