Med-Source Pharmacy Services Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH 23666 Issued in FL

Legal business name

MED-SOURCE PHARMACY SERVICES CORP

Practice address

515 SW 17TH Ave Ste 1
Miami, FL 33135-3878

Phone

(305) 854-7377

Fax

(305) 854-7327

NPI assigned

Feb 4, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Dallas Lonardo

Title

President

Phone

(305) 854-7377

Specialties & licenses 2

Addresses

Locations

Networks

• HealthSun Health Plans Network

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1912145582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 SW 17TH AVE STE 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353878",
            "telephone_number": "305-854-7377",
            "fax_number": "305-854-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 SW 17TH AVE STE 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353878",
            "telephone_number": "305-854-7377",
            "fax_number": "305-854-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-SOURCE PHARMACY SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "LONARDO",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-854-7377",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH 23666",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH23665",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Miami, FL
• Providers in Miami, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.