Northeastern Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NORTHEASTERN PHARMACY LLC

Practice address

10645 NW 7TH Ave Ste 104
Miami, FL 33150-1067

Phone

(786) 963-6008

Fax

(786) 963-6209

NPI assigned

May 10, 2024

Last updated

May 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Nasser Richmond, REG. PHARMACISTNPI 1497829873

Title

Manager

Phone

(954) 237-9841

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nasser M Richmond, BSPHARM

  • Pharmacist
  • Miami, FL
  • NPI 1497829873
  NPD Authorized official

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1932957297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 NE 90TH ST",
            "city": "EL PORTAL",
            "state": "FL",
            "postal_code": "331383125",
            "telephone_number": "954-237-9841",
            "fax_number": "786-963-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10645 NW 7TH AVE STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331501067",
            "telephone_number": "786-963-6008",
            "fax_number": "786-963-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "NASSER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-237-9841",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REG.  PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.