Organization Active NPI

Milagros Pharmacy Corporation

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1720164841
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH17258 Issued in FL
Legal business name
MILAGROS PHARMACY CORPORATION
Practice address
302 SW 12TH Ave
Miami, FL 33130-2001
Phone
(305) 541-0094
Fax
(305) 541-0717
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Aldo Leon
Title
President
Phone
(305) 541-0094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH17258 FL Primary

Addresses

Primary practice location

302 SW 12TH Ave
Miami, FL 33130-2001

Mailing address

302 SW 12TH Ave
Miami, FL 33130-2001
Phone (305) 541-0094

Other identifiers 1

IdentifierTypeStateIssuer
2150411OtherPK

Other names 1

  • Milagros Pharmacy Corporation Doing business as

National Provider Directory

National Provider Directory

Locations

302 SW 12th Ave
Miami, FL 33130
Phone (305) 541-0094

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1720164841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 SW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302001",
            "telephone_number": "305-541-0094",
            "fax_number": "305-541-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 SW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302001",
            "telephone_number": "305-541-0094",
            "fax_number": "305-541-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILAGROS PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "ALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-541-0094"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH17258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150411",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milagros Pharmacy Corporation",
            "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 Jan 13, 2016; 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.