Organization Active NPI

Branch Enterprises

Doing business as CMS RX

  • Pharmacy
  • Miami, FL
National Provider Identifier
1538104740
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH18244 Issued in FL
Legal business name
BRANCH ENTERPRISES
Doing business as
CMS RX
Practice address
17490 SW 104TH Ave
Ste B
Miami, FL 33157-4200
Phone
(305) 969-3353
Fax
(305) 969-3115
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Evans Branch III, PHARMD
Title
President
Phone
(305) 969-3353

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH18244 FL Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

17490 SW 104TH Ave
Ste B
Miami, FL 33157-4200

Mailing address

17490 SW 104TH Ave
Ste B
Miami, FL 33157-4200
Phone (305) 969-3353

Other identifiers 2

IdentifierTypeStateIssuer
0253316000MedicaidFL
1094692OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • CMS RX Doing business as

National Provider Directory

National Provider Directory

Locations

17490 SW 104th Ave
Ste B
Miami, FL 33157
Phone (305) 969-3353

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1538104740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17490 SW 104TH AVE",
            "address_2": "STE B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331574200",
            "telephone_number": "305-969-3353",
            "fax_number": "305-969-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17490 SW 104TH AVE",
            "address_2": "STE B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331574200",
            "telephone_number": "305-969-3353",
            "fax_number": "305-969-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCH ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "BRANCH",
        "authorized_official_first_name": "EVANS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-969-3353",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH18244",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0253316000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1094692",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMS RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 28, 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.