Mortar & Pestle Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH22625 Issued in FL

Legal business name

MORTAR & PESTLE PHARMACY INC

Doing business as

MORTAR & PESTLE the Boutique PHARMACY

Practice address

12920 SW 119TH St
Miami, FL 33186-4506

Phone

(305) 603-9958

Fax

(305) 603-9958

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Mercedes Silva, BS PHARM RPH

Title

Pic

Phone

(305) 775-9021

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• MORTAR & PESTLE the Boutique PHARMACY Doing business as

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1689757726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12920 SW 119TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864506",
            "telephone_number": "305-603-9958",
            "fax_number": "305-603-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12920 SW 119TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864506",
            "telephone_number": "305-603-9958",
            "fax_number": "305-603-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTAR & PESTLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "305-775-9021",
        "authorized_official_credential": "BS PHARM RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH22625",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1022728",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031999600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MORTAR & PESTLE the Boutique PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jesse Alan Morse, M.D.
• Leslie R Morse, DO
• Lisa D Morse, OTR/L
• Mahmoud Morsi, M.D.
• Kandas D Morsoletto Ferrufino
• Betty M Mortenson, M.D.
• Jamelah Alexandra Morton, ARNP
• Yaite Morua-Delgado Rabassa, OTR/L
• John A Morytko, MD
• Mosaic ABA Therapy LLC

• 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 Aug 8, 2012; 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.