Organization Active NPI

Luper Corp

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1699801845
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH0012004 Issued in FL
Legal business name
LUPER CORP
Practice address
9258 SW 40TH St
Miami, FL 33165-4151
Phone
(305) 554-0438
Fax
(305) 553-2197
NPI assigned
Feb 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Authorized official

Name
Lourdes Del Carmen Perez
Title
Treasurer
Phone
(305) 554-0438

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH0012004 FL Primary

Addresses

Primary practice location

9258 SW 40TH St
Miami, FL 33165-4151

Mailing address

9258 SW 40TH St
Miami, FL 33165-4151

Other identifiers 2

IdentifierTypeStateIssuer
1047629OtherOTHER ID NUMBER
023351600MedicaidFL

Other names 1

  • 40TH STREET PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

9258 SW 40th St
Miami, FL 33165
Phone (305) 554-0438

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1699801845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9258 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9258 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654151",
            "telephone_number": "305-554-0438",
            "fax_number": "305-553-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUPER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_middle_name": "DEL CARMEN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "305-554-0438"
    },
    "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": "PH0012004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1047629",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023351600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "40TH STREET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "40TH STREET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 28, 2023; 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.