La Botica Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH27570 Issued in FL

Legal business name

LA BOTICA PHARMACY INC

Doing business as

La Botica

Practice address

10550 NW 77TH CT Ste 109
Hialeah Gardens, FL 33016-2069

Phone

(786) 703-4284

Fax

(786) 703-7767

NPI assigned

Mar 7, 2014

Organization subpart

No

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

Authorized official

Name

Emilys Prieto

Title

Owner/President

Phone

(786) 703-4284

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LA BOTICA Doing business as

Locations

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1699191296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 NW 77TH CT STE 109",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330162069",
            "telephone_number": "786-703-4284",
            "fax_number": "786-703-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 NW 77TH CT STE 109",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330162069",
            "telephone_number": "786-703-4284",
            "fax_number": "786-703-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA BOTICA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "PRIETO",
        "authorized_official_first_name": "EMILYS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "786-703-4284"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH27570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144549",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA BOTICA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Hialeah Gardens, FL
• Providers in Hialeah 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 Aug 18, 2014; 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.