Grand 7TH Pharmacy by Kwik Stop LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GRAND 7TH PHARMACY BY KWIK STOP LLC

Doing business as

Adv Pharmacy

Practice address

12304 SW 127TH Ave
Miami, FL 33186-6579

Phone

(305) 445-7533

Fax

(786) 899-0686

NPI assigned

Dec 16, 2018

Last updated

May 26, 2022By 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

Lazaro Alfaro Jr.

Title

President

Phone

(305) 333-4897

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ADV PHARMACY Doing business as

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.

• Imuentinyan Sariratu Salami

  • Pharmacist
  • Miami, FL
  • NPI 1093301707
  NPD (past)

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1548731631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12304 SW 127TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866579",
            "telephone_number": "305-445-7533",
            "fax_number": "786-899-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12304 SW 127TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866579",
            "telephone_number": "305-445-7533",
            "fax_number": "786-899-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND 7TH PHARMACY BY KWIK STOP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "ALFARO",
        "authorized_official_first_name": "LAZARO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-333-4897",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH",
            "identifier": "31737",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADV PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carlos Teofilo Granados, M.D.
• Guillermo Alfredo Granados, PA-C
• Kenia Granados
• Stacey Amelia Granados
• Vanessa Maria Granados
• Grand 7TH Pharmacy Stop Inc
• Grand Canal Doctors' Medical Services Inc.
• Grand Court Lakes
• Grand Court Lakes Management,LLC
• Grand Court Village

• Community/Retail Pharmacy in Miami, FL
• Providers in 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 May 26, 2022; 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.