Sir Charles Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SIR CHARLES PHARMACY, INC.

Practice address

17560 NW 27TH Ave
Suite 119
Miami Gardens, FL 33056-4014

Phone

(305) 705-3415

NPI assigned

Sep 24, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Charles Ayebah, PHARMACIST

Title

President/Owner

Phone

(954) 253-1036

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1588033112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17560 NW 27TH AVE",
            "address_2": "SUITE 119",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330564014",
            "telephone_number": "305-705-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17560 NW 27TH AVE",
            "address_2": "SUITE 119",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330564014",
            "telephone_number": "305-705-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIR CHARLES PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "AYEBAH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "954-253-1036",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Miami Gardens, FL
• Providers in Miami Gardens, 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 Oct 12, 2015; 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.