Enrique M. Pallares

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS24103 Issued in FL

Practice address

14585 Biscayne Blvd
North Miami, FL 33181-1209

Phone

(305) 956-3874

Fax

(305) 956-5842

NPI assigned

Sep 23, 2011

Last updated

Sep 23, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Costco Wholesale Corporation

  dba Costco Pharmacy #1709

  • Community/Retail Pharmacy
  • Las Vegas, NV
  • NPI 1255124269
  NPD (past)

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1578846846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2496 MONTEREY CT",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333271508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14585 BISCAYNE BLVD",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331811209",
            "telephone_number": "305-956-3874",
            "fax_number": "305-956-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLARES",
        "first_name": "ENRIQUE",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS24103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• P.O Medical Supply Inc
• Pacific Care Rehab LLC
• Natalie Nichole Paez, MSN, FNP-BC
• Ambar Desiree Pagani, D.D.S., M.S.
• Pain Specialists of North Miami LLC
• Palms NH Management LLC (The Lilac at Silver Palms)
• Marie Pamphile
• Marivic Bautista Panopio, RDH
• Gallia Papandrea
• Paradigm Claims Services (Paradigm)

• Pharmacist in North Miami, FL
• Providers in North Miami, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.