MGM Pharmacy & Discount Corp

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH19922 Issued in FL

Legal business name

MGM PHARMACY & DISCOUNT CORP

Practice address

2007 SW 8TH St
Miami, FL 33135-3317

Phone

(305) 631-9642

Fax

(305) 631-9645

NPI assigned

Jun 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Amaurys Martinez

Title

President

Phone

(305) 491-8519

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528065828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353317",
            "telephone_number": "305-631-9642",
            "fax_number": "305-631-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353317",
            "telephone_number": "305-631-9642",
            "fax_number": "305-631-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGM PHARMACY & DISCOUNT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "AMAURYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-491-8519",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH19922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1098563",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MG West Medical Supplies Corp
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• MGM Dental PA
• MGM Medical Services Inc
• MGM Outpatient Inc
• MGM Therapy Services LLC
• MGR Garcia Services LLC
• MGR Home #2 Inc
• MGR Home Inc
• MH Imperial Service Inc.

• Pharmacy in Miami, FL
• Providers in Miami, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.