Alisara LLC
Organization Active NPI Community/Retail Pharmacy · Miami Gardens, FL
NPI 1922589019 · NPPES record last updated Jun 6, 2022
Key facts
- NPI
- 1922589019
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- ALISARA LLC
- Practice address
- 19533 NW 57TH Ave
Miami Gardens, FL 33055-4709 - Phone
- (305) 952-4384
- Fax
- (305) 952-4385
- NPI assigned
- Aug 27, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- A & B PHARMACY
Authorized official
- Name
- Arshad Ali Mohammed
- Title
- Owner
- Phone
- (786) 863-5539
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2219223 | A & B Pharmacy | Certificate of waiver | Apr 1, 2027 |
National Provider Directory
- Part of
- Alisara LLC
Networks
- HealthSun Health Plans Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
19533 NW 57TH Ave
Miami Gardens, FL 33055-4709
Mailing address
19533 NW 57TH Ave
Miami Gardens, FL 33055-4709
Phone (305) 952-4384
Other names
- A& B PHARMACY
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All providers in Miami Gardens, FL · Community/Retail Pharmacy in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.