Formula Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH27582 Issued in FL

Legal business name

FORMULA PHARMACY, INC.

Practice address

11180 W Flagler St Ste 2
Miami, FL 33174-1250

Phone

(305) 381-5635

Fax

(305) 381-5971

NPI assigned

Feb 28, 2014

Last updated

Dec 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Ricardo Espinosa

Title

President

Phone

(305) 381-5635

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Networks

• HealthSun Health Plans Network

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1861817728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11180 W FLAGLER ST STE 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741250",
            "telephone_number": "305-381-5635",
            "fax_number": "305-381-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11180 W FLAGLER ST STE 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741250",
            "telephone_number": "305-381-5635",
            "fax_number": "305-381-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORMULA PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-28",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "ESPINOSA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RICARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-381-5635"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH27582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BOARD OF PHARMACY",
            "identifier": "PH27582",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leopoldo J Formoso-Murias, MD
• Alexander Leopoldo Formoso, M.D.
• Eilys Formoso
• Michelle Formoso, ARNP-C
• Dieunane Formul, LCSW
• Dayana Mercedes Fornaris
• Eva Fornaris
• Luis Jorge Fornaris, DMD
• Maylen Fornes
• Lester Fornet, APRN

• Pharmacy in Miami, FL
• Providers in Miami, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.