Organization Active NPI

Miramar Pharmacy and Discount, Inc

  • Community/Retail Pharmacy
  • Miramar, FL
National Provider Identifier
1649660887
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH 28846 Issued in FL
Legal business name
MIRAMAR PHARMACY AND DISCOUNT, INC
Practice address
6320 Miramar Pkwy Ste H
Miramar, FL 33023-3999
Phone
(954) 962-5709
Fax
(954) 983-5346
NPI assigned
Jan 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Mrs. Raiza De Leon, R.N.
Title
President
Phone
(954) 962-5709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH 28846 FL Primary

Addresses

Primary practice location

6320 Miramar Pkwy Ste H
Miramar, FL 33023-3999

Mailing address

6320 Miramar Pkwy Ste H
Miramar, FL 33023-3999
Phone (954) 962-5709

National Provider Directory

National Provider Directory

Locations

6320 Miramar Pkwy
Ste H
Miramar, FL 33023
Phone (754) 204-2704

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1649660887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 MIRAMAR PKWY STE H",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330233999",
            "telephone_number": "954-962-5709",
            "fax_number": "954-983-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 MIRAMAR PKWY STE H",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330233999",
            "telephone_number": "954-962-5709",
            "fax_number": "954-983-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAMAR PHARMACY AND DISCOUNT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "RAIZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-962-5709",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH 28846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.