Active NPI
Pharmacy One Inc
- Community/Retail Pharmacy
- Miami, FL
National Provider Identifier
1912935925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH17820
- Legal business name
- PHARMACY ONE INC
- Practice address
- 2505 NW 54TH St
Miami, FL 33142-2947 - Phone
- (305) 637-8311
- Fax
- (305) 637-8227
- NPI assigned
- Jun 29, 2006
- 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
- Shereen Abdoh
- Title
- Pic
- Phone
- (305) 637-8311
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH17820 | FL | Primary |
Addresses
Primary practice location
2505 NW 54TH St
Miami, FL 33142-2947
Mailing address
2505 NW 54TH St
Miami, FL 33142-2947
Phone (305) 637-8311
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1092725 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 022665300 | Medicaid | FL | |
| 022665301 | Medicaid | FL |
Other names 1
- ROBERTS DRUGSTORE
National Provider Directory
National Provider Directory- Tax ID family
- Pharmacy One Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Miami, FL
- NPI 1346446531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313020800000",
"number": "1912935925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 NW 54TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331422947",
"telephone_number": "305-637-8311",
"fax_number": "305-637-8227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 NW 54TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331422947",
"telephone_number": "305-637-8311",
"fax_number": "305-637-8227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMACY ONE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-29",
"last_updated": "2011-08-11",
"status": "A",
"authorized_official_last_name": "ABDOH",
"authorized_official_first_name": "SHEREEN",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "305-637-8311"
},
"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": "PH17820",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "1092725",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022665300",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022665301",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ROBERTS DRUGSTORE",
"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 Aug 11, 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.