Organization Active NPI

D-Crowned Queen Pharmacy Inc

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1891084059
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH25367 Issued in FL
Legal business name
D-CROWNED QUEEN PHARMACY INC
Doing business as
D-CROWNED QUEEN PHARMACY INC.
Practice address
456 NE 79TH St
Miami, FL 33138-4521
Phone
(305) 967-8224
Fax
(305) 967-8533
NPI assigned
Mar 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Ifemmuta Adirika
Title
Owner
Phone
(305) 967-8224

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH25367 FL Primary

Addresses

Primary practice location

456 NE 79TH St
Miami, FL 33138-4521

Mailing address

456 NE 79TH St
Miami, FL 33138-4521
Phone (305) 967-8224

Other identifiers 1

IdentifierTypeStateIssuer
2129658OtherPK

Other names 1

  • D-CROWNED QUEEN 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": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1891084059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 NE 79TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331384521",
            "telephone_number": "305-967-8224",
            "fax_number": "305-967-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 NE 79TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331384521",
            "telephone_number": "305-967-8224",
            "fax_number": "305-967-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D-CROWNED QUEEN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "ADIRIKA",
        "authorized_official_first_name": "IFEMMUTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-967-8224"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129658",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D-CROWNED QUEEN PHARMACY INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 16, 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.