Public Health Trust of Miami Dade County Florida
Organization Active NPI Pharmacy · Palmetto Bay, FL
NPI 1720149818 · NPPES record last updated Feb 28, 2022
Key facts
- NPI
- 1720149818
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
- Practice address
- 9333 SW 152ND St
Palmetto Bay, FL 33157-1778 - Phone
- (305) 256-5182
- Fax
- (305) 256-5183
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Steven Nemeroff
- Title
- Associate Director of Pharmacy
- Phone
- (305) 585-6780
Corporate family (same tax ID) 22
National Provider Directory
- Tax ID family
- Dianne M Parker MD
Networks
- HealthSun Health Plans Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Yes | ||
| Community/Retail Pharmacy | 3336C0003X | |||
| Mail Order Pharmacy | 3336M0002X |
Addresses
Primary practice location
9333 SW 152ND St
Palmetto Bay, FL 33157-1778
Mailing address
9333 SW 152ND St
Palmetto Bay, FL 33157-1778
Phone (305) 256-5182
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003420601 | Medicaid | FL | |
| 2008200 | Other | PK | |
| 003420600 | Medicaid | FL |
Other names
- Jackson South Pharmacy
Other providers in Palmetto Bay, FL
- Psychosocial Rehabilitation Center Inc
- Public Health Trust of Dade County Florida
- Public Health Trust of Dade County, Florida
- Public Health Trust of Miami Dade County Florida
- Public Health Trust of Miami Dade County Florida
- Meredith Puddington
- Pure Therapy One LLC.
- Quality Connections, Inc.
- Adrian Quinones Gomez
- Yajaira Maribel Quinonez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.