Organization Active NPI

Express Plus Pharmacy

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1780983106
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH25373 Issued in FL
Legal business name
EXPRESS PLUS PHARMACY
Doing business as
Express Plus Pharmacy
Practice address
2950 SW 27TH Ave Ste 300
Miami, FL 33133-3765
Phone
(954) 589-0790
Fax
(954) 416-6132
NPI assigned
Mar 24, 2011
Last updated
Dec 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Authorized official

Name
Antonio Primo
Title
Managing Member
Phone
(305) 505-3070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PH25373 FL Primary

Addresses

Primary practice location

2950 SW 27TH Ave Ste 300
Miami, FL 33133-3765

Mailing address

2950 SW 27TH Ave Ste 300
Miami, FL 33133-3765
Phone (954) 589-0790

Other identifiers 2

IdentifierTypeStateIssuer
003670700MedicaidFL
2129776OtherPK

Other names 1

  • Express Plus Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Express Plus Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1780983106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 SW 27TH AVE STE 300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331333765",
            "telephone_number": "954-589-0790",
            "fax_number": "954-416-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 SW 27TH AVE STE 300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331333765",
            "telephone_number": "954-589-0790",
            "fax_number": "954-416-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS PLUS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "PRIMO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "305-505-3070"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003670700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129776",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Plus Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 6, 2016; 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.