Gaviota Pharmacy Discount Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH23661 Issued in FL

Legal business name

GAVIOTA PHARMACY DISCOUNT CORP

Practice address

10521 SW 40TTH Street
Miami, FL 33165-3747

Phone

(305) 223-6469

Fax

(305) 223-6479

NPI assigned

Oct 29, 2008

Organization subpart

No

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

Authorized official

Name

Odalys Santana

Title

Owner

Phone

(305) 223-6469

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gaviota Pharmacy Discount Corp Doing business as

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1467605733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10521 SW 40TTH STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10521 SW 40TTH STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653747",
            "telephone_number": "305-223-6469",
            "fax_number": "305-223-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAVIOTA PHARMACY DISCOUNT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "ODALYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-223-6469"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1041475",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gaviota Pharmacy Discount Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura de la Caridad Gavilan Cangas
• Noreyli Gavilan Pozo
• Mayney Gavilondo, ARNP
• Isis Maria Gavin Garcia, DDS
• Julie Gavino, COTA/L
• Felipe Gaviria Donado, M.D.
• Heydi K Gaviria, APRN
• Jose M Gaviria, M.D.
• Lina Gaviria
• Maria C Gaviria, MD

• 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 Mar 16, 2009; 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.