Active NPI
Privecarerx LLC
- Pharmacy
- Coral Gables, FL
National Provider Identifier
1669155487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- PRIVECARERX LLC
- Practice address
- 2020 Ponce de Leon Blvd Ste 105
Coral Gables, FL 33134-4475 - Phone
- (352) 284-4390
- NPI assigned
- Aug 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Damita Joy Ferguson, PHARMD
- Title
- Owner/ Pharmacy Manager
- Phone
- (352) 284-4390
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
2020 Ponce de Leon Blvd Ste 105
Coral Gables, FL 33134-4475
Mailing address
2020 Ponce de Leon Blvd Ste 105
Coral Gables, FL 33134-4475
Phone (352) 284-4390
Other names 1
- BEAUTIFILLRX LLC
National Provider Directory
National Provider DirectoryLocations
2020 Ponce de Leon Blvd
Ste 105
Coral Gables, FL 33134
Phone (352) 284-4390
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Miami, FL
- NPI 1750778080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696550400000",
"number": "1669155487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 PONCE DE LEON BLVD STE 105",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331344475",
"telephone_number": "352-284-4390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 PONCE DE LEON BLVD STE 105",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331344475",
"telephone_number": "352-284-4390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIVECARERX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-09",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A",
"authorized_official_last_name": "FERGUSON",
"authorized_official_first_name": "DAMITA",
"authorized_official_middle_name": "JOY",
"authorized_official_title_or_position": "OWNER/ PHARMACY MANAGER",
"authorized_official_telephone_number": "352-284-4390",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BEAUTIFILLRX LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.