Active NPI
Thaimi Mitat
- Pharmacist
- Homestead, FL
National Provider Identifier
1487162244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS61996
- Practice address
- 13600 SW 288TH St
Homestead, FL 33033-1905 - Phone
- (305) 910-2972
- NPI assigned
- Jan 15, 2018
- Last updated
- Oct 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS61996 | FL | Primary |
Addresses
Primary practice location
13600 SW 288TH St
Homestead, FL 33033-1905
Mailing address
13600 SW 288TH St
Homestead, FL 33033-1905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS61996 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Azalia's Pharmacy & Discount Inc. | Past | Accepting new patients | |
| Las Villas Pharmacy Discount and Medical Supplies Inc | Past | Accepting new patients | |
| Holiday CVS L.L.C. | Past | Accepting new patients | |
| Holiday CVS LLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Hialeah, FL
- NPI 1255377735
-
- Community/Retail Pharmacy
- Hialeah, FL
- NPI 1255525341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696550400000",
"number": "1487162244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13600 SW 288TH ST",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330331905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13600 SW 288TH ST",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330331905",
"telephone_number": "305-910-2972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITAT",
"first_name": "THAIMI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-15",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS61996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.