Millenium Clinic Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH30847 Issued in FL

Legal business name

MILLENIUM CLINIC PHARMACY INC

Doing business as

Millenium Clinic Pharmacy
Millenium Dade Pharmacy

Practice address

12914 SW 133Rd CT Ste B
Miami, FL 33186-6585

Phone

(786) 301-5407

NPI assigned

Aug 3, 2017

Organization subpart

No

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

Authorized official

Name

Shereen H Abdoh

Title

Owner / Pic

Phone

(786) 301-5407

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• Millenium Clinic Pharmacy Doing business as
• Millenium Dade Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503273600000",
    "number": "1770007486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12914 SW 133RD CT STE B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12914 SW 133RD CT STE B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866585",
            "telephone_number": "786-301-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENIUM CLINIC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2017-08-21",
        "status": "A",
        "authorized_official_last_name": "ABDOH",
        "authorized_official_first_name": "SHEREEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER / PIC",
        "authorized_official_telephone_number": "786-301-5407"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "FL",
            "license": "PH30847",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH30847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "PH30847",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millenium Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Millenium Dade Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Millenium Adult Day Care
• Millenium Clinic of Dade Inc
• Millenium Clinic of Dade Inc
• Millenium Clinic of Dade Inc
• Millenium Clinic of Dade, Inc
• Millenium Contractors
• Millenium Health and Therapy Center
• Millenium Home Health Services, Inc.
• Millenium Medical Center Inc
• Millenium Medical Center Inc.

• 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 Aug 21, 2017; 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.