Organization Active NPI

Paqmar Inc

Doing business as Shenandoah Pharmacy

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1750484812
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH17374 Issued in FL
Legal business name
PAQMAR INC
Doing business as
Shenandoah Pharmacy
Practice address
2200 SW 16TH St 102 06
Miami, FL 33145-2021
Phone
(305) 858-2972
Fax
(305) 860-0560
NPI assigned
Sep 6, 2006
Last updated
Jul 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Authorized official

Name
Rogelio Rodriguez
Title
President
Phone
(305) 858-2972

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH17374 FL Primary

Addresses

Primary practice location

2200 SW 16TH St 102 06
Miami, FL 33145-2021

Mailing address

2200 SW 16TH St 102 06
Miami, FL 33145-2021

Other identifiers 2

IdentifierTypeStateIssuer
1059294OtherOTHER ID NUMBER
1059294OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • SHENANDOAH PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2200 SW 16th St
Ste 102
Miami, FL 33145
Phone (305) 858-2972

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1750484812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SW 16TH ST 102 06",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SW 16TH ST 102 06",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452021",
            "telephone_number": "305-858-2972",
            "fax_number": "305-860-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAQMAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ROGELIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-858-2972"
    },
    "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": "PH17374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1059294",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1059294",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHENANDOAH 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 26, 2007; 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.