Davie Road Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH25978 Issued in FL

Legal business name

DAVIE ROAD PHARMACY INC

Practice address

6477 Stirling Rd
Davie, FL 33314-7126

Phone

(954) 791-0161

Fax

(954) 791-8468

NPI assigned

Jul 9, 2012

Organization subpart

No

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

Authorized official

Name

Z Soto

Title

Managing Member

Phone

(954) 791-0161

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Davie Road Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1730444563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6477 STIRLING RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333147126",
            "telephone_number": "954-791-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6477 STIRLING RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333147126",
            "telephone_number": "954-791-0161",
            "fax_number": "954-791-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIE ROAD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "Z",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "954-791-0161"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135850",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davie Road Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Davie Medical Center, LLC
• Davie Medical Supplies LLC
• Davie Modern Dentistry, PA
• Davie Pill Box LLC
• Davie Psychiatry LLC
• Davie Urgent Care LLC
• Jackie M Davie, PH.D., CCC-A
• Camila Davette Davila Negron
• Rosario Davila
• Trisha Davin, LCSW

• Community/Retail Pharmacy in Davie, FL
• Providers in Davie, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.