NPIMap

Organization Active NPI

Jessie Trice Community Health System, Inc

Doing business as Barbara Jordan Pharmacy

  • Community/Retail Pharmacy
  • Miami Gardens, FL
National Provider Identifier
1548920143
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC
Doing business as
Barbara Jordan Pharmacy
Practice address
20612 NW 27TH Avenue
Miami Gardens, FL 33056
Phone
(305) 835-1615
Fax
(305) 474-7004
NPI assigned
Dec 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Ryan R. Hawkins
Title
President & Ceo
Phone
(305) 805-1700

Specialties & licenses 1

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

Addresses

Primary practice location

20612 NW 27TH Avenue
Miami Gardens, FL 33056

Mailing address

5607 NW 27TH Avenue
Suite 1
Miami, FL 33142
Phone (305) 499-1928

Other identifiers 2

IdentifierTypeStateIssuer
113009000MedicaidFL
PH33678OtherFLSTATE LICENSE NUMBER

Other names 2

  • Barbara Jordan Pharmacy Doing business as
  • BARBARA J. JORDAN PHARMACY Other name

National Provider Directory

National Provider Directory
Tax ID family
Economic Opportunity FH15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1548920143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 NW 27TH AVENUE",
            "address_2": "SUITE 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33142",
            "telephone_number": "305-499-1928",
            "fax_number": "305-634-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20612 NW 27TH AVENUE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "33056",
            "telephone_number": "305-835-1615",
            "fax_number": "305-474-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-22",
        "last_updated": "2025-08-06",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "305-805-1700"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113009000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PH33678",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barbara Jordan Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BARBARA J. JORDAN PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.