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Organization Active NPI

Public Health Trust of Miami Dade County Florida

Doing business as Jackson Pharmacy Solutions

  • Pharmacy
  • Miami, FL
National Provider Identifier
1790856458
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Doing business as
Jackson Pharmacy Solutions
Practice address
901 NW 17TH St Ste O
Miami, FL 33136-1135
Phone
(305) 585-3996
Fax
(806) 242-0502
NPI assigned
Nov 13, 2006
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Authorized official

Name
Steven Nemeroff
Title
Associate Director Pharmacy
Phone
(305) 585-6780

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X PH23949 FL
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

901 NW 17TH St Ste O
Miami, FL 33136-1135

Mailing address

PO Box 864938
Orlando, FL 32886-4938
Phone (806) 324-5507

Other identifiers 3

IdentifierTypeStateIssuer
2009220OtherPK
003419201MedicaidFL
003419200MedicaidFL

Other names 1

  • Jackson Pharmacy Solutions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131008001774 FL DME Supplier - PharmacyDME Supplier - Hospital 8628981925 Practice locations: Miami, FL

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

901 NW 17th St
Ste D
Miami, FL 33136
Phone (305) 585-3996

Networks

  • HealthSun Health Plans Network

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Public Health Trust of Miami Dade County FloridaMiami, FL, CCN 100022 Hospital Operational/Managerial Control (100%) Oct 1, 1973
Jackson Memorial Long Term Care CenterMiami, FL, CCN 105392 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Apr 25, 1992
Apr 25, 1992
May 5, 2025
Public Health Trust of Miami Dade County FloridaCutler Bay, FL, CCN 105252 Skilled nursing facility 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Adp of the SNF		 Oct 1, 1973
Oct 1, 1973
Oct 1, 1973

Owned or controlled facilities with NPI records 25

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 25

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1790856458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 864938",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328864938",
            "telephone_number": "806-324-5507",
            "fax_number": "806-324-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 NW 17TH ST STE O",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361135",
            "telephone_number": "305-585-3996",
            "fax_number": "806-242-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "NEMEROFF",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR PHARMACY",
        "authorized_official_telephone_number": "305-585-6780"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23949",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2009220",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003419201",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003419200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Pharmacy Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jackson Pharmacy Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.