Organization Active NPI

Privecarerx LLC

  • Pharmacy
  • Coral Gables, FL
National Provider Identifier
1669155487
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Dr. Damita Joy Ferguson, PHARMDNPI 1750778080
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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.