Organization Active NPI

MC Drug Store Inc

  • Pharmacy
  • Miami, FL
National Provider Identifier
1881013241
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
MC DRUG STORE INC
Practice address
1893 W Flagler St
Miami, FL 33135-1939
Phone
(305) 643-0507
Fax
(305) 643-0508
NPI assigned
Apr 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Authorized official

Name
Yaroslav Moreno
Title
President
Phone
(305) 643-0507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X FL Primary

Addresses

Primary practice location

1893 W Flagler St
Miami, FL 33135-1939

Mailing address

1893 W Flagler St
Miami, FL 33135-1939
Phone (305) 643-0507

National Provider Directory

National Provider Directory

Locations

1893 W Flagler St
Miami, FL 33135
Phone (305) 643-0507

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1881013241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1893 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351939",
            "telephone_number": "305-643-0507",
            "fax_number": "305-643-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351939",
            "telephone_number": "305-643-0507",
            "fax_number": "305-643-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "YAROSLAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-643-0507"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": null,
            "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 May 14, 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.