Active NPI
Country Walk Pharmacy
- Community/Retail Pharmacy
- Miami, FL
National Provider Identifier
1801801410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- COUNTRY WALK PHARMACY
- Doing business as
- LA CENTRAL PHARMACY
- Practice address
- 1845 NW 17TH Ave
Miami, FL 33125-2330 - Phone
- (305) 325-0301
- Fax
- (305) 278-7600
- NPI assigned
- Jul 30, 2006
- 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
- Elsa Ruiz
- Title
- Admin
- Phone
- (305) 325-0301
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PH21332 | FL | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1845 NW 17TH Ave
Miami, FL 33125-2330
Mailing address
1845 NW 17TH Ave
Miami, FL 33125-2330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1096999 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- LA CENTRAL PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Country Walk Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Miami, FL
- NPI 1376557660
Locations
1845 NW 17th Ave
Miami, FL 33125
Phone (305) 325-0301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1801801410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 NW 17TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331252330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 NW 17TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331252330",
"telephone_number": "305-325-0301",
"fax_number": "305-278-7600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTRY WALK PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "RUIZ",
"authorized_official_first_name": "ELSA",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "305-325-0301"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "FL",
"license": "PH21332",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "1096999",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LA CENTRAL 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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.