Coral Reef Pharmacy & Discount Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH0011536 Issued in FL

Legal business name

CORAL REEF PHARMACY & DISCOUNT STORE INC

Doing business as

Sedanos Pharmacy #10

Practice address

13796 SW 152 Street
Miami, FL 33177

Phone

(305) 256-9800

Fax

(305) 256-1440

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Leo Cuervo, RPH

Title

President

Phone

(305) 827-9582

Specialties & licenses 1

Addresses

Other names 1

• Sedanos Pharmacy #10 Doing business as

Locations

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578655783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13796 SW 152 STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33177",
            "telephone_number": "305-256-9800",
            "fax_number": "305-256-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13796 SW 152 STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33177",
            "telephone_number": "305-256-9800",
            "fax_number": "305-256-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL REEF PHARMACY & DISCOUNT STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUERVO",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-827-9582",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH0011536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sedanos Pharmacy #10",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Aug 22, 2020; 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.