Organization Active NPI

Reina'S Pharmacy Corp

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1528455136
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH287621 Issued in FL
Legal business name
REINA'S PHARMACY CORP
Practice address
9835 SW 72ND St Ste 109
Miami, FL 33173-4648
Phone
(786) 534-9684
Fax
(786) 534-9685
NPI assigned
Apr 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Authorized official

Name
Idilsis Manresa
Title
President
Phone
(786) 534-9684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH287621 FL Primary

Addresses

Primary practice location

9835 SW 72ND St Ste 109
Miami, FL 33173-4648

Mailing address

9835 SW 72ND St Ste 109
Miami, FL 33173-4648
Phone (786) 534-9684

National Provider Directory

National Provider Directory

Locations

9835 SW 72nd St
Ste 109
Miami, FL 33173
Phone (786) 534-9684

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1528455136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9835 SW 72ND ST STE 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734648",
            "telephone_number": "786-534-9684",
            "fax_number": "786-534-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9835 SW 72ND ST STE 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734648",
            "telephone_number": "786-534-9684",
            "fax_number": "786-534-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REINA'S PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "MANRESA",
        "authorized_official_first_name": "IDILSIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-534-9684"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH287621",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 21, 2015; 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.