Organization Active NPI

Asis Pharmacy. Inc. Asis Pharmacy

  • Pharmacist
  • Miami, FL
National Provider Identifier
1487640827
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH6186 Issued in FL
Legal business name
ASIS PHARMACY. INC. ASIS PHARMACY
Practice address
1061 SW 27TH Ave.
Miami, FL 33135-2442
Phone
(305) 642-2430
Fax
(305) 642-2432
NPI assigned
Sep 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mr. Jorge E Loredo
Title
President/Co-Owner
Phone
(305) 642-2430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PH6186 FL Primary

Addresses

Primary practice location

1061 SW 27TH Ave.
Miami, FL 33135-2442

Mailing address

1061 SW 27TH Ave
Miami, FL 33135-4614
Phone (305) 642-2430

Other identifiers 2

IdentifierTypeStateIssuer
104096100MedicaidFL
PH6186OtherFLPHARMACY LICENSE

National Provider Directory

National Provider Directory

Locations

1061 SW 27th Ave
Miami, FL 33135
Phone (305) 642-2430

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1487640827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354614",
            "telephone_number": "305-642-2430",
            "fax_number": "305-642-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 SW 27TH AVE.",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352442",
            "telephone_number": "305-642-2430",
            "fax_number": "305-642-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIS PHARMACY. INC. ASIS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "LOREDO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/CO-OWNER",
        "authorized_official_telephone_number": "305-642-2430",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PH6186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104096100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PH6186",
            "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 Jun 18, 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.