Organization Active NPI

Lifesaver Pharmacy Inc

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1457589046
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
24104 Issued in FL
Legal business name
LIFESAVER PHARMACY INC
Practice address
11735 SW 147TH Ave Unit 5
Miami, FL 33196-3329
Phone
(305) 385-0059
Fax
(305) 385-0670
NPI assigned
Jun 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Andres Espinoza
Title
President / Owner
Phone
(305) 385-0059

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 24104 FL Primary

Addresses

Primary practice location

11735 SW 147TH Ave Unit 5
Miami, FL 33196-3329

Mailing address

11735 SW 147TH Ave
#5
Miami, FL 33196-3321
Phone (305) 385-0059

Other identifiers 2

IdentifierTypeStateIssuer
006436200MedicaidFL
2120776OtherPK

Other names 1

  • LifeSaver Pharmacy Inc Doing business as

National Provider Directory

National Provider Directory

Locations

11735 SW 147th Ave
Unit 5
Miami, FL 33196
Phone (305) 385-0059

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1457589046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11735 SW 147TH AVE",
            "address_2": "#5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963321",
            "telephone_number": "305-385-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11735 SW 147TH AVE UNIT 5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963329",
            "telephone_number": "305-385-0059",
            "fax_number": "305-385-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESAVER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "ESPINOZA",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "305-385-0059"
    },
    "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": "24104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006436200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120776",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeSaver Pharmacy Inc",
            "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 Apr 19, 2016; 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.