Organization Active NPI

Riverside Community Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1629320825
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RIVERSIDE COMMUNITY PHARMACY, INC.
Practice address
Riverside Community Pharmacy, Inc.
1456 NW 17TH Ave
Miami, FL 33125
Phone
(305) 549-6677
Fax
(305) 549-6633
NPI assigned
Oct 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Authorized official

Name
Michael P Garcia
Title
Administrator
Phone
(305) 549-6677

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH26403 FL
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

Riverside Community Pharmacy, Inc.
1456 NW 17TH Ave
Miami, FL 33125

Mailing address

Riverside Community Pharmacy, Inc.
1456 NW 17TH Ave
Miami, FL 33125
Phone (305) 549-6677

National Provider Directory

National Provider Directory

Locations

1456 NW 17th Ave
Miami, FL 33125
Phone (305) 549-6677

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555632000000",
    "number": "1629320825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RIVERSIDE COMMUNITY PHARMACY, INC.",
            "address_2": "1456 NW 17TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33125",
            "telephone_number": "305-549-6677",
            "fax_number": "305-549-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RIVERSIDE COMMUNITY PHARMACY, INC.",
            "address_2": "1456 NW 17TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33125",
            "telephone_number": "305-549-6677",
            "fax_number": "305-549-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE COMMUNITY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2019-04-19",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-549-6677"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH26403",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 19, 2019; 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.