Organization Active NPI

Lola Pharmacy Corp

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1831493428
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH 25122 Issued in FL
Legal business name
LOLA PHARMACY CORP
Practice address
23 SW 8TH Ave
Miami, FL 33130-1213
Phone
(305) 325-1990
Fax
(305) 325-1993
NPI assigned
Dec 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Authorized official

Name
Jorge Aguiar
Title
President
Phone
(305) 325-1990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH 25122 FL Primary

Addresses

Primary practice location

23 SW 8TH Ave
Miami, FL 33130-1213

Mailing address

23 SW 8TH Ave
Miami, FL 33130-1213
Phone (305) 325-1990

Other identifiers 1

IdentifierTypeStateIssuer
3609OtherFLDOC NUMBER

National Provider Directory

National Provider Directory

Locations

23 SW 8th Ave
Miami, FL 33130
Phone (305) 325-1885

NPI Registry JSON

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1831493428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SW 8TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331301213",
            "telephone_number": "305-325-1990",
            "fax_number": "305-325-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SW 8TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331301213",
            "telephone_number": "305-325-1990",
            "fax_number": "305-325-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOLA PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "AGUIAR",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-325-1990"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH 25122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOC NUMBER",
            "identifier": "3609",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 22, 2010; 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.