Active NPI
Mar-Lac Pharmacy Discount & Supply
- Pharmacy
- Miami, FL
National Provider Identifier
1871744755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PH 23601
- Legal business name
- MAR-LAC PHARMACY DISCOUNT & SUPPLY
- Practice address
- 1109 NW 22ND Ave
Miami, FL 33125-2738 - Phone
- (305) 631-6602
- NPI assigned
- Oct 9, 2008
- 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
- Alexander Morales
- Title
- President
- Phone
- (305) 631-6602
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PH 23601 | FL | Primary |
Addresses
Primary practice location
1109 NW 22ND Ave
Miami, FL 33125-2738
Mailing address
1109 NW 22ND Ave
Miami, FL 33125-2738
Phone (305) 631-6602
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223510400000",
"number": "1871744755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 NW 22ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331252738",
"telephone_number": "305-631-6602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 NW 22ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331252738",
"telephone_number": "305-631-6602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAR-LAC PHARMACY DISCOUNT & SUPPLY",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-09",
"last_updated": "2008-10-09",
"status": "A",
"authorized_official_last_name": "MORALES",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-631-6602"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "FL",
"license": "PH 23601",
"primary": true
}
],
"identifiers": [],
"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 Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.