Organization Active NPI

South Pharmacy Inc

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1609964907
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SOUTH PHARMACY INC
Practice address
4315 NW 7TH St Ste 20
Miami, FL 33126-3562
Phone
(305) 448-6300
Fax
(305) 448-6301
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Ruben Escamilla
Title
President
Phone
(305) 448-6300

Specialties & licenses 1

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

Addresses

Primary practice location

4315 NW 7TH St Ste 20
Miami, FL 33126-3562

Mailing address

4315 NW 7TH St Ste 20
Miami, FL 33126-3562
Phone (305) 448-6300

Other identifiers 1

IdentifierTypeStateIssuer
032093500MedicaidFL

National Provider Directory

National Provider Directory

Locations

13571 SW 135th Ave
Unit 208
Miami, FL 33186
Phone (305) 235-5503

4315 NW 7th St
Ste 20
Miami, FL 33126
Phone (305) 569-0059

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1609964907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 NW 7TH ST STE 20",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263562",
            "telephone_number": "305-448-6300",
            "fax_number": "305-448-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 NW 7TH ST STE 20",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263562",
            "telephone_number": "305-448-6300",
            "fax_number": "305-448-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "ESCAMILLA",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-448-6300"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032093500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.