Active NPI
Babasa Inc
- Community/Retail Pharmacy
- Miami, FL
National Provider Identifier
1437443066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH25489
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2130567 | Other | PK | |
| 015940500 | Medicaid | FL |
Other names 1
- Med Citi Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.