Great Care Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH19925 Issued in FL

Legal business name

GREAT CARE PHARMACY INC

Practice address

17560 NW 27 Ave
Suite 107
Miami Gardens, FL 33056

Phone

(305) 430-7970

Fax

(305) 430-7971

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Emmanuel Nwofor

Title

President

Phone

(305) 430-7970

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GREAT CARE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1689719213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17560 NW 27 AVE",
            "address_2": "SUITE 107",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "33056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17560 NW 27 AVE",
            "address_2": "SUITE 107",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "33056",
            "telephone_number": "305-430-7970",
            "fax_number": "305-430-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "NWOFOR",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-430-7970"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH19925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1004100",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026687600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREAT CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Bridgette Vannessa Green, MS, LIFE COACH

• Community/Retail Pharmacy in Miami Gardens, FL
• Providers in Miami Gardens, 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 Dec 10, 2008; 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.