Organization Active NPI

Jose Antonio Villamil-Rodriguez

  • Community/Retail Pharmacy
  • Miami Gardens, FL
National Provider Identifier
1720024110
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH25314 Issued in FL
Legal business name
JOSE ANTONIO VILLAMIL-RODRIGUEZ
Practice address
16000 NW 27TH Ave
Miami Gardens, FL 33054-6804
Phone
(305) 621-2005
Fax
(305) 620-0905
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Juana Villamil
Title
Ceo
Phone
(305) 621-2005

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH25314 FL Primary
Long Term Care Pharmacy 3336L0003X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

16000 NW 27TH Ave
Miami Gardens, FL 33054-6804

Mailing address

16000 NW 27TH Ave
Miami Gardens, FL 33054-6804
Phone (305) 621-2005

Other identifiers 1

IdentifierTypeStateIssuer
1095682OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • La Farmacia Doing business as

National Provider Directory

National Provider Directory

Locations

16000 NW 27th Ave
Miami Gardens, FL 33054
Phone (305) 621-2005

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1720024110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 NW 27TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330546804",
            "telephone_number": "305-621-2005",
            "fax_number": "305-620-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 NW 27TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330546804",
            "telephone_number": "305-621-2005",
            "fax_number": "305-620-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE ANTONIO VILLAMIL-RODRIGUEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "VILLAMIL",
        "authorized_official_first_name": "JUANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-621-2005"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25314",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1095682",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Farmacia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.