Jacobs Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH23544 Issued in FL

Legal business name

JACOBS PHARMACY INC

Practice address

261 Westward Dr
Suite 115-116
Miami Springs, FL 33166-5290

Phone

(786) 953-5643

Fax

(786) 953-5644

NPI assigned

Aug 26, 2008

Organization subpart

No

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

Authorized official

Name

Ada Alberto Gonzalez

Title

President

Phone

(786) 953-5643

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1932356409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 WESTWARD DR",
            "address_2": "SUITE 115 -116",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665290",
            "telephone_number": "786-953-5643",
            "fax_number": "786-953-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 WESTWARD DR",
            "address_2": "SUITE 115-116",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665290",
            "telephone_number": "786-953-5643",
            "fax_number": "786-953-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ADA",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-953-5643"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Miami Springs, FL
• Providers in Miami Springs, 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 Apr 20, 2009; 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.