Villa Clara Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VILLA CLARA PHARMACY, LLC

Practice address

9568 SW 137TH Ave # 354-B3
Miami, FL 33186-2201

Phone

(786) 282-4279

NPI assigned

Feb 20, 2024

Organization subpart

No

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

Authorized official

Name

Marilyn Duque, PHARMD

Title

Pharmacy Manager

Phone

(786) 282-4279

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1689439432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9568 SW 137TH AVE # 354-B3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862201",
            "telephone_number": "786-282-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9568 SW 137TH AVE # 354-B3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862201",
            "telephone_number": "786-282-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA CLARA PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "DUQUE",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "786-282-4279",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Villa Chirinos Alf Corp
• Villa Clara Medical Center
• Gresimay Villa Escobar
• Mayde Denises Villa Escobar, BEHAVIOR TECHNICIAN
• Villa Estrella Alf, Inc
• Villa Josefa Inc
• Villa Learning Center Inc

• Community/Retail Pharmacy in Miami, FL
• Providers in Miami, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.