Spring Drug Store, Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

3336C0003X Issued in FL

Legal business name

SPRING DRUG STORE, INC

Practice address

450 NE 125TH St
North Miami, FL 33161-4754

Phone

(305) 863-7333

Fax

(305) 863-7399

NPI assigned

Oct 19, 2016

Organization subpart

No

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

Authorized official

Name

Sadiel Basulto

Title

Register Agent

Phone

(305) 863-7333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1790236339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 NE 125TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614754",
            "telephone_number": "305-863-7333",
            "fax_number": "305-863-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NE 125TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614754",
            "telephone_number": "305-863-7333",
            "fax_number": "305-863-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING DRUG STORE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "BASULTO",
        "authorized_official_first_name": "SADIEL",
        "authorized_official_title_or_position": "REGISTER AGENT",
        "authorized_official_telephone_number": "305-863-7333"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "3336C0003X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in North Miami, FL
• Providers in North Miami, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.