Organization Active NPI

SCC Pharmacy LLC

  • Community/Retail Pharmacy
  • Coral Gables, FL
National Provider Identifier
1578229084
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SCC PHARMACY LLC
Practice address
4950 SW 8TH St
Coral Gables, FL 33134-2400
Phone
(305) 392-1027
Fax
(305) 392-1933
NPI assigned
Nov 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Gretel Jardon
Title
Managing Member
Phone
(305) 392-1027

Specialties & licenses 1

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

Addresses

Primary practice location

4950 SW 8TH St
Coral Gables, FL 33134-2400

Mailing address

4950 SW 8TH St
Coral Gables, FL 33134-2400
Phone (305) 392-1027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1578229084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 SW 8TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342400",
            "telephone_number": "305-392-1027",
            "fax_number": "305-392-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 SW 8TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342400",
            "telephone_number": "305-392-1027",
            "fax_number": "305-392-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "JARDON",
        "authorized_official_first_name": "GRETEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "305-392-1027"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.