Pharma Source DME,Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH17703 Issued in FL

Legal business name

PHARMA SOURCE DME,INC

Practice address

14045 W Dixie Hwy
North Miami, FL 33161-3442

Phone

(305) 899-0943

Fax

(305) 899-0945

NPI assigned

May 25, 2007

Last updated

Sep 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Estela Pinnavaria, RPHNPI 1881773521

Title

Pharmacist

Phone

(305) 899-0943

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Estela Pinnavaria, RPH

  • Pharmacotherapy Pharmacist
  • North Miami Beach, FL
  • NPI 1881773521
  NPD Authorized official

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1548471923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14045 W DIXIE HWY",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331613442",
            "telephone_number": "305-899-0943",
            "fax_number": "305-899-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14045 W DIXIE HWY",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331613442",
            "telephone_number": "305-899-0943",
            "fax_number": "305-899-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMA SOURCE DME,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "PINNAVARIA",
        "authorized_official_first_name": "ESTELA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "305-899-0943",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH17703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022952100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alejandra Pernia Hernandez, DDS
• Latasha A Perry
• Melissa Perurena, DPM
• Eugene Pesant, LCSW
• PG of Miami LLC
• Majerry Philius, PA-C
• Keegan Phillips
• Phoenix Clinic, Inc.
• Phoenix Clinic, Inc.
• Physical Therapy Experts Inc

• Community/Retail Pharmacy in North Miami, FL
• Providers in North Miami, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.