Organization Active NPI

Lux Pharmacy Corp

  • Pharmacy
  • Miami, FL
National Provider Identifier
1760052252
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
LUX PHARMACY CORP
Practice address
13205 SW 137TH Ave Ste 104
Miami, FL 33186-5333
Phone
(786) 432-9111
Fax
(786) 432-9112
NPI assigned
Jun 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Yesika Villafana
Title
President
Phone
(786) 432-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

13205 SW 137TH Ave Ste 104
Miami, FL 33186-5333

Mailing address

13205 SW 137TH Ave Ste 104
Miami, FL 33186-5333
Phone (786) 432-9111

Other identifiers 1

IdentifierTypeStateIssuer
4577OtherFLNUMB

National Provider Directory

National Provider Directory

Locations

13205 SW 137th Ave
Ste 104
Miami, FL 33186
Phone (786) 432-9111

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1760052252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13205 SW 137TH AVE STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865333",
            "telephone_number": "786-432-9111",
            "fax_number": "786-432-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13205 SW 137TH AVE STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865333",
            "telephone_number": "786-432-9111",
            "fax_number": "786-432-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUX PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "VILLAFANA",
        "authorized_official_first_name": "YESIKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-432-9111"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NUMB",
            "identifier": "4577",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 28, 2021; 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.