Organization Active NPI

Pacific Pharmacy Inc

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1720156599
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH22281 Issued in FL
Legal business name
PACIFIC PHARMACY INC
Practice address
8876 SW 24TH St # 11
Miami, FL 33165-2008
Phone
(305) 226-5463
Fax
(305) 226-5465
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Authorized official

Name
Scott Novick
Title
Manager
Phone
(305) 226-5464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH22281 FL Primary

Addresses

Primary practice location

8876 SW 24TH St # 11
Miami, FL 33165-2008

Mailing address

8876 SW 24TH St # 11
Miami, FL 33165-2008
Phone (305) 226-5463

Other identifiers 1

IdentifierTypeStateIssuer
2129378OtherPK

Other names 1

  • Pacific Pharmacy, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

8876 SW 24th St
Unit 11
Miami, FL 33165
Phone (305) 226-5463

8876 SW 24th St
#11
Miami, FL 33165
Phone (305) 226-5463

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1720156599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8876 SW 24TH ST # 11",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652008",
            "telephone_number": "305-226-5463",
            "fax_number": "305-226-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8876 SW 24TH ST # 11",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652008",
            "telephone_number": "305-226-5463",
            "fax_number": "305-226-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "NOVICK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-226-5464"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH22281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129378",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Pharmacy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 18, 2013; 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.