Organization Active NPI

Aloe Drug Mart and Medical Supplies

  • Community/Retail Pharmacy
  • North Miami Beach, FL
National Provider Identifier
1639622350
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH30269 Issued in FL
Legal business name
ALOE DRUG MART AND MEDICAL SUPPLIES
Practice address
65 NW 167TH St
North Miami Beach, FL 33169-6017
Phone
(305) 655-1544
Fax
(305) 655-1547
NPI assigned
Jul 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
David Musheyev
Title
President
Phone
(305) 655-1544

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH30269 FL Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

65 NW 167TH St
North Miami Beach, FL 33169-6017

Mailing address

65 NW 167TH St
North Miami Beach, FL 33169-6017
Phone (305) 655-1544

Other identifiers 1

IdentifierTypeStateIssuer
2162332OtherPK

Other names 1

  • Aloe Drug Mart Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210427001064 FL Part B Supplier - Pharmacy 6406130699 Practice locations: North Miami Beach, FL

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1639622350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 NW 167TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331696017",
            "telephone_number": "305-655-1544",
            "fax_number": "305-655-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 NW 167TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331696017",
            "telephone_number": "305-655-1544",
            "fax_number": "305-655-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALOE DRUG MART AND MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-29",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "MUSHEYEV",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-655-1544"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH30269",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162332",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aloe Drug Mart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.