Med-Lab Compounding

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PH28330 Issued in FL

Legal business name

MED-LAB COMPOUNDING

Doing business as

MED LAB COMPOUNDING, LLC

Practice address

9963 SW 142ND Ave
Miami, FL 33186-6844

Phone

(786) 534-7533

NPI assigned

Aug 22, 2014

Organization subpart

No

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

Authorized official

Name

Nereyda Rojas

Title

Technician

Phone

(786) 534-7533

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MED LAB COMPOUNDING, LLC Doing business as

Tax ID family

Med Lab Compounding LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Med-Lab Compounding

  • Specialty Pharmacy
  • Miami, FL
  • NPI 1740698927
  NPD tax ID

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1538568803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9963 SW 142 AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33186",
            "telephone_number": "786-534-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9963 SW 142ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866844",
            "telephone_number": "786-534-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-LAB COMPOUNDING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "NEREYDA",
        "authorized_official_title_or_position": "TECHNICIAN",
        "authorized_official_telephone_number": "786-534-7533"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "FL",
            "license": "PH28330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147240",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MED LAB COMPOUNDING, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Med-Psy Care, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.