Organization Active NPI

Navarro Discount Pharmacies No.12

Doing business as Navarro Discount Pharmacy

  • Community/Retail Pharmacy
  • Pembroke Pines, FL
National Provider Identifier
1700991825
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NAVARRO DISCOUNT PHARMACIES NO.12
Doing business as
Navarro Discount Pharmacy
Practice address
10141 Pines Blvd
Pembroke Pines, FL 33026-3978
Phone
(305) 636-7779
Fax
(954) 442-7292
NPI assigned
Aug 20, 2006
Last updated
Apr 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Authorized official

Name
Doris Alvarez
Title
Pharmacy Manager
Phone
(305) 636-7779

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 031866301 FL
Pharmacy 333600000X PH0017341 FL
Pharmacy 333600000X 4541650001 FL
Pharmacy 333600000X 031866300 FL
Pharmacy 333600000X 1090187 FL
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

10141 Pines Blvd
Pembroke Pines, FL 33026-3978

Mailing address

9400 NW 104TH St
Medley, FL 33178-1333
Phone (305) 636-7779

Other identifiers 3

IdentifierTypeStateIssuer
031866301MedicaidFL
031866300MedicaidFL
1090187OtherFLNCPDP

Other names 1

  • NAVARRO DISCOUNT PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1700991825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 NW 104TH ST",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331781333",
            "telephone_number": "305-636-7779",
            "fax_number": "305-636-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10141 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263978",
            "telephone_number": "305-636-7779",
            "fax_number": "954-442-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVARRO DISCOUNT PHARMACIES NO.12",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "305-636-7779"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "031866301",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH0017341",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "4541650001",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "031866300",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "1090187",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031866301",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031866300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1090187",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NAVARRO DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.