Active NPI
Nina Pharmacy Inc
- Community/Retail Pharmacy
- Doral, FL
National Provider Identifier
1881005098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH28125
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2144908 | Other | PK |
Other names 1
- Nina Pharmacy Inc
National Provider Directory
National Provider DirectoryNPI 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.