Organization Active NPI

Superior Pharmacy Group

  • Long Term Care Pharmacy
  • Doral, FL
National Provider Identifier
1972723807
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PH18754 Issued in FL
Legal business name
SUPERIOR PHARMACY GROUP
Practice address
1951 NW 97TH Ave
Doral, FL 33172-2305
Phone
(305) 597-0110
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Mr. Mike Qureshi
Title
C.O.O
Phone
(305) 597-0110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X PH18754 FL Primary

Addresses

Primary practice location

1951 NW 97TH Ave
Doral, FL 33172-2305

Mailing address

1951 NW 97TH Ave
Doral, FL 33172-2305
Phone (305) 597-0110

National Provider Directory

National Provider Directory

Locations

1951 NW 97th Ave
Doral, FL 33172
Phone (305) 597-0110

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1972723807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 NW 97TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722305",
            "telephone_number": "305-597-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 NW 97TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722305",
            "telephone_number": "305-597-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR PHARMACY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "C.O.O",
        "authorized_official_telephone_number": "305-597-0110",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH18754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.