Organization Active NPI

Baxter Pharmacy & Discount

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1467472704
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH21401 Issued in FL
Legal business name
BAXTER PHARMACY & DISCOUNT
Practice address
13730 SW 84TH St
Miami, FL 33183-4000
Phone
(305) 408-7290
Fax
(305) 408-7289
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Mr. Rolando R Baster
Title
President
Phone
(305) 408-7290

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PH21401 FL
Durable Medical Equipment & Medical Supplies 332B00000X 030949401 FL
Community/Retail Pharmacy 3336C0003X PH21401 FL Primary

Addresses

Primary practice location

13730 SW 84TH St
Miami, FL 33183-4000

Mailing address

13730 SW 84TH St
Miami, FL 33183-4000
Phone (305) 408-7290

Other identifiers 2

IdentifierTypeStateIssuer
030949400MedicaidFL
030949401MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1467472704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13730 SW 84TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834000",
            "telephone_number": "305-408-7290",
            "fax_number": "305-408-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13730 SW 84TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834000",
            "telephone_number": "305-408-7290",
            "fax_number": "305-408-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAXTER PHARMACY & DISCOUNT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "BASTER",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-408-7290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PH21401",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "030949401",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH21401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030949400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030949401",
            "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 Aug 11, 2008; 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.