Organization Active NPI

Penate RX LLC

  • Clinic Pharmacy
  • Doral, FL
National Provider Identifier
1720702004
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
PENATE RX LLC
Practice address
1200 NW 78TH Ave Ste 113-114
Doral, FL 33126-1835
Phone
(305) 239-5318
Fax
(786) 375-8571
NPI assigned
Sep 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Clara Penate
Title
Ambr
Phone
(786) 272-9170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X Primary

Addresses

Primary practice location

1200 NW 78TH Ave Ste 113-114
Doral, FL 33126-1835

Mailing address

8200 SW 117TH Ave Ste 112
Miami, FL 33183-4825
Phone (786) 272-9170

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address humanresources@penatemc.com Direct

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1720702004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 SW 117TH AVE STE 112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834825",
            "telephone_number": "786-272-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NW 78TH AVE STE 113-114",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261835",
            "telephone_number": "305-239-5318",
            "fax_number": "786-375-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENATE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "PENATE",
        "authorized_official_first_name": "CLARA",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "786-272-9170"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "humanresources@penatemc.com",
            "affiliation": "N",
            "endpointDescription": "humanresources@penatemc.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1200 NW 78th Ave Ste 113-114",
            "city": "Doral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331261835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.