Organization Active NPI

Salus Pharmacy LLC

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1710386180
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH28417 Issued in FL
Legal business name
SALUS PHARMACY LLC
Practice address
4677 W Flagler St
Miami, FL 33134
Phone
(786) 360-2360
Fax
(786) 360-2383
NPI assigned
Aug 21, 2014
Last updated
Jun 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Authorized official

Name
Anabel Galano, PHARMDNPI 1124439245
Title
Owner
Phone
(305) 546-9537

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH28417 FL Primary

Addresses

Primary practice location

4677 W Flagler St
Miami, FL 33134

Mailing address

4677 W Flagler St
Miami, FL 33134
Phone (786) 360-2360

Other identifiers 1

IdentifierTypeStateIssuer
014245300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150731014996 FL Part B Supplier - Other 8921328907 Practice locations: Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2318840Salus Pharmacy LLC4677 W Flagler St, Miami, FL 33134Certificate of waiverFeb 18, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Salus Pharmacy LLC4677 W Flagler St, Coral Gables, FL 33134-1512(786) 360-2360 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jan 5, 2015

National Provider Directory

National Provider Directory

Locations

4677 W Flagler St
Coral Gables, FL 33134
Phone (305) 443-3910

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1710386180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4677 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "786-360-2360",
            "fax_number": "786-360-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4677 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "786-360-2360",
            "fax_number": "786-360-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "GALANO",
        "authorized_official_first_name": "ANABEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-546-9537",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH28417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014245300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.