Organization Active NPI

Medicalsuppliersa LLC

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1689573040
Registry record updated Nov 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEDICALSUPPLIERSA LLC
Practice address
1623 NE Miami Gardens Dr Apt 147
Miami, FL 33179-4945
Phone
(870) 888-0627
Fax
(870) 888-0627
NPI assigned
Nov 3, 2026
Last updated
Nov 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2026

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

Authorized official

Name
Mike Ruiz
Title
MGR
Phone
(870) 888-0627

Specialties & licenses 1

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

Addresses

Primary practice location

1623 NE Miami Gardens Dr Apt 147
Miami, FL 33179-4945

Mailing address

390 NE 191St St Ste 43662
Miami, FL 33179-3899
Phone (870) 888-0627

NPI Registry JSON

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

{
    "created_epoch": "1793664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793664000000",
    "number": "1689573040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 NE 191ST ST STE 43662",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793899",
            "telephone_number": "870-888-0627",
            "fax_number": "870-888-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 NE MIAMI GARDENS DR APT 147",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794945",
            "telephone_number": "870-888-0627",
            "fax_number": "870-888-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICALSUPPLIERSA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-03",
        "last_updated": "2026-11-03",
        "certification_date": "2026-11-03",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "870-888-0627"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.