Pharmco 780 Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH26739 Issued in FL

Legal business name

PHARMCO 780 INC

Doing business as

Pharmco 780 Inc

Practice address

780 Fisherman St # 103
Opa Locka, FL 33054-3806

Phone

(786) 657-2060

Fax

(786) 955-6619

NPI assigned

Mar 19, 2013

Organization subpart

No

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

Authorized official

Name

Rodrigo Linder

Title

Manager

Phone

(305) 919-7399

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pharmco 780 Inc Doing business as

Locations

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1619219565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 PARK CENTRE BLVD",
            "address_2": "#207",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695365",
            "telephone_number": "786-657-2060",
            "fax_number": "786-955-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 FISHERMAN ST # 103",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543806",
            "telephone_number": "786-657-2060",
            "fax_number": "786-955-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMCO 780 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "LINDER",
        "authorized_official_first_name": "RODRIGO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-919-7399"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5713828",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmco 780 Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Opa Locka, FL
• Providers in Opa Locka, 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 Mar 19, 2013; 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.