Organization Active NPI

Babasa Inc

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1437443066
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH25489 Issued in FL
Legal business name
BABASA INC
Doing business as
Med Citi Pharmacy
Practice address
11373 SW 211TH St Ste 9
Miami, FL 33189-2246
Phone
(305) 254-5622
Fax
(305) 254-5623
NPI assigned
May 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Madhavi Madasu
Title
Owner
Phone
(305) 767-9977

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH25489 FL Primary

Addresses

Primary practice location

11373 SW 211TH St Ste 9
Miami, FL 33189-2246

Mailing address

11373 SW 211TH St Ste 9
Miami, FL 33189-2246
Phone (305) 254-5622

Other identifiers 2

IdentifierTypeStateIssuer
2130567OtherPK
015940500MedicaidFL

Other names 1

  • Med Citi Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

11373 SW 211th St
Ste 9
Miami, FL 33189
Phone (305) 254-5622

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1437443066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11373 SW 211TH ST STE 9",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331892246",
            "telephone_number": "305-254-5622",
            "fax_number": "305-254-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11373 SW 211TH ST STE 9",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331892246",
            "telephone_number": "305-254-5622",
            "fax_number": "305-254-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABASA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "MADASU",
        "authorized_official_first_name": "MADHAVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-767-9977"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130567",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015940500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med Citi Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 14, 2017; 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.