Organization Active NPI

Miami Coast Pharmacy LLC

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1720457740
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH29386 Issued in FL
Legal business name
MIAMI COAST PHARMACY LLC
Doing business as
Miami Coast Pharmacy
Practice address
1250 NW 7TH St Unit 101-102
Miami, FL 33125-3744
Phone
(786) 615-8627
Fax
(786) 762-2814
NPI assigned
Sep 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Authorized official

Name
Alpesh Patel
Title
Owner
Phone
(786) 615-8627

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WD0400X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH29386 FL Primary

Addresses

Primary practice location

1250 NW 7TH St Unit 101-102
Miami, FL 33125-3744

Mailing address

1250 NW 7TH St
Unit 101-102
Miami, FL 33125
Phone (786) 615-8627

Other identifiers 2

IdentifierTypeStateIssuer
2154124OtherPK
016116400MedicaidFL

Other names 1

  • Miami Coast Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1250 NW 7th St
Miami, FL 33125
Phone (305) 243-6251

1250 NW 7th St
Unit 101102
Miami, FL 33125
Phone (786) 615-8627

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1720457740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 NW 7TH ST",
            "address_2": "UNIT 101-102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33125",
            "telephone_number": "786-615-8627",
            "fax_number": "786-762-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 NW 7TH ST UNIT 101-102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253744",
            "telephone_number": "786-615-8627",
            "fax_number": "786-762-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI COAST PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ALPESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-615-8627"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH29386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154124",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016116400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miami Coast Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Miami Coast Pharmacy",
            "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 9, 2021; 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.