Palm Avenue Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH17088 Issued in FL

Legal business name

PALM AVENUE PHARMACY INC

Practice address

2501 SW 67TH Ave
Miami, FL 33155-2968

Phone

(305) 661-8800

Fax

(305) 663-1872

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Vicky Eehevarria, PHARM D.

Title

Owner

Phone

(305) 661-8800

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• 67TH AVENUE PHARMACY Doing business as

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1740311844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 SW 67TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552968",
            "telephone_number": "305-661-8800",
            "fax_number": "305-663-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 SW 67TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552968",
            "telephone_number": "305-661-8800",
            "fax_number": "305-663-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM AVENUE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "EEHEVARRIA",
        "authorized_official_first_name": "VICKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-661-8800",
        "authorized_official_credential": "PHARM D."
    },
    "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": "PH17088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1088891",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "67TH AVENUE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pallcare LLC
• Harvey Pallen, DDS
• Javier Palli Miranda
• Caroline Pallidine
• Dana Palloo
• Palm Beach General Surgery LLC
• Palm Beach General Surgery LLC
• Palm Beach Recovery LLC
• Palm Gardens Residential Adult Home, LLC.
• Palm Haven Home Care LLC

• Community/Retail Pharmacy in Miami, FL
• Providers in Miami, 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 Jul 12, 2010; 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.