Camillus Health Concern

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

PH30458 Issued in FL

Legal business name

CAMILLUS HEALTH CONCERN

Practice address

336 NW 5TH St
Miami, FL 33128-1616

Phone

(305) 577-4840

NPI assigned

Nov 18, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Luz Milagros Labrada Ravelo, R.PH.

Title

Director of Pharmacy

Phone

(305) 577-4840

Specialties & licenses 2

Addresses

Other names 1

• Good Shepherd Health Center Pharmacy Doing business as

Tax ID family

Camillus Health Concern Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Camillus Health Concern Inc

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1861402869
  NPD tax ID

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1700329059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 NW 5TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331281616",
            "telephone_number": "305-577-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 NW 5TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331281616",
            "telephone_number": "305-577-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMILLUS HEALTH CONCERN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "LABRADA RAVELO",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "MILAGROS",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "305-577-4840",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "FL",
            "license": "PH30458",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH30458",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Shepherd Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camila'S Home Care LLC
• Camila'S Home Care LLC
• Jose Valentin Camilion, DO
• Camille Denis
• Melania Camilleris
• Camillus Health Concern Inc
• Camillus Health Concern, Inc.
• Camillus Health Concern, Inc.
• Camillus Health Concern, Inc.
• Camillus Health Concern, Inc.

• Clinic Pharmacy in Miami, FL
• Providers in Miami, FL by specialty
• Clinic Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.