Organization Active NPI

Petes Drug Store Inc

  • Community/Retail Pharmacy
  • Homestead, FL
National Provider Identifier
1992115059
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PETES DRUG STORE INC
Practice address
2016 NE 8TH St
Homestead, FL 33033-4702
Phone
(786) 343-4043
Fax
(786) 349-4292
NPI assigned
Apr 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Authorized official

Name
Pedro Diaz
Title
President
Phone
(786) 343-4043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X FL Primary

Addresses

Primary practice location

2016 NE 8TH St
Homestead, FL 33033-4702

Mailing address

2016 NE 8TH St
Homestead, FL 33033-4702
Phone (786) 343-4043

National Provider Directory

National Provider Directory

Locations

2016 NE 8th St
Homestead, FL 33033
Phone (305) 242-2233

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1992115059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 NE 8TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330334702",
            "telephone_number": "786-343-4043",
            "fax_number": "786-349-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 NE 8TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330334702",
            "telephone_number": "786-343-4043",
            "fax_number": "786-349-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETES DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-343-4043"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.