Lage Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH8887 Issued in FL

Legal business name

LAGE PHARMACY INC

Doing business as

ABC PHARMACY

Practice address

3485 W Flagler St Ste 200
Miami, FL 33135-1042

Phone

(305) 649-3333

Fax

(305) 649-5722

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Maria Mustafa

Title

President

Phone

(305) 649-3333

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• ABC PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1770665564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 W FLAGLER ST STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351042",
            "telephone_number": "305-649-3333",
            "fax_number": "305-649-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 W FLAGLER ST STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351042",
            "telephone_number": "305-649-3333",
            "fax_number": "305-649-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "MUSTAFA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-649-3333"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH8887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025545900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025545901",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1037022",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juan Enrique Lafosse
• Jacques N/a Lafrance Sr., MS
• Violet S Lagari-Libhaber, DO, MPH
• Lauren Lagaron, DPT
• Lage Consultants, LLC
• Alex Lage
• Alex Lage
• Kamila Alejandra Lage
• Onelia G Lage, MD
• Richard Charles Lage III, DDS

• 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 Mar 29, 2011; 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.