Wynwood Family Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WYNWOOD FAMILY PHARMACY CORP

Practice address

5847 W Flagler St
Miami, FL 33144-3316

Phone

(786) 360-4155

Fax

(786) 360-4249

NPI assigned

Mar 2, 2015

Organization subpart

No

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

Authorized official

Name

Ingrid Perdomo

Title

President

Phone

(305) 528-1050

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494806400000",
    "number": "1770975658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5847 WEST FALGLER STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33157",
            "telephone_number": "786-360-4155",
            "fax_number": "786-360-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5847 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443316",
            "telephone_number": "786-360-4155",
            "fax_number": "786-360-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNWOOD FAMILY PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2017-05-15",
        "status": "A",
        "authorized_official_last_name": "PERDOMO",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-528-1050"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Evan Wyke, MBBS
• Lisa Wynne, ARNP
• Melissa Ann Wynne, MMS, PA-C
• Malcolm Wynter
• Wynwellness LLC
• Patricia C Wyse
• X Therapy Art and Music Inc
• X-Press MD LLC
• X-Ray Technology Enterprise Inc.
• X-Treme Rehab, 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 May 15, 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.