Organization Active NPI

Bird Road Pharmacy

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1891091914
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH24894 Issued in FL
Legal business name
BIRD ROAD PHARMACY
Practice address
8428 SW 40TH St
Miami, FL 33155-3226
Phone
(305) 551-3040
NPI assigned
Feb 7, 2011
Last updated
Feb 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Authorized official

Name
Mr. Joan Polanco
Title
Owner
Phone
(305) 551-3040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH24894 FL Primary

Addresses

Primary practice location

8428 SW 40TH St
Miami, FL 33155-3226

Mailing address

8428 SW 40TH St
Miami, FL 33155-3226
Phone (305) 551-3040

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1891091914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8428 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553226",
            "telephone_number": "305-551-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8428 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553226",
            "telephone_number": "305-551-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRD ROAD PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "POLANCO",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-551-3040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24894",
            "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 Feb 7, 2011; 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.