Blue Moon Pharmacy & Discount Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BLUE MOON PHARMACY & DISCOUNT CORP

Practice address

7884 NW 52ND St
Doral, FL 33166-4742

Phone

(786) 483-8667

Fax

(786) 483-8669

NPI assigned

Sep 18, 2013

Organization subpart

No

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

Authorized official

Name

Adrian Padron

Title

President

Phone

(786) 483-8667

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1750717062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7884 NW 52ND ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664742",
            "telephone_number": "786-483-8667",
            "fax_number": "786-483-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7884 NW 52ND ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664742",
            "telephone_number": "786-483-8667",
            "fax_number": "786-483-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MOON PHARMACY & DISCOUNT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-18",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "PADRON",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-483-8667"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark William Bloom, M.D.
• Blooming Bellies Doula & Birth Care Services LLC
• Blue Hi Group Inc
• Blue Horizon Home Health LLC
• Blue Moon Medical Center Inc
• Blue Ribbon Orthotics LLC
• Bluegreen Behavioral Health Center, Inc
• Norman J Blum, MD
• Cesar Blumtritt, LMHC
• Diana K Blythe

• Community/Retail Pharmacy in Doral, FL
• Providers in Doral, 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 May 11, 2015; 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.