Active NPI
Express Plus Pharmacy
- Community/Retail Pharmacy
- Miami, FL
National Provider Identifier
1780983106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH25373
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003670700 | Medicaid | FL | |
| 2129776 | Other | PK |
Other names 1
- Express Plus Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Express Plus Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Compounding Pharmacy
- Hollywood, FL
- NPI 1356786099
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.