Organization Active NPI

Nina Pharmacy Inc

  • Community/Retail Pharmacy
  • Doral, FL
National Provider Identifier
1881005098
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH28125 Issued in FL
Legal business name
NINA PHARMACY INC
Practice address
4723 NW 79TH Ave
Doral, FL 33166-5403
Phone
(305) 471-0091
Fax
(305) 471-0096
NPI assigned
May 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Authorized official

Name
Manuel Silva
Title
Owner
Phone
(786) 222-2655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH28125 FL Primary

Addresses

Primary practice location

4723 NW 79TH Ave
Doral, FL 33166-5403

Mailing address

4723 NW 79TH Ave
Doral, FL 33166-5403
Phone (305) 471-0091

Other identifiers 1

IdentifierTypeStateIssuer
2144908OtherPK

Other names 1

  • Nina Pharmacy Inc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1881005098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4723 NW 79TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331665403",
            "telephone_number": "305-471-0091",
            "fax_number": "305-471-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4723 NW 79TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331665403",
            "telephone_number": "305-471-0091",
            "fax_number": "305-471-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-222-2655"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH28125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144908",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nina Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.