CMA PHARMACY & SUPPLIES CORP - NPI NUMBER 1518235100

Summary

Provider Name: CMA PHARMACY & SUPPLIES CORP

NPI Number: 1518235100

Clasification: Pharmacy (333600000X)

Address:
5549 SW 8 STREET
CORAL GABLES, FL
ZIP 33134

Phone Number: (305) 364-5807



Detailed Information

CMA PHARMACY & SUPPLIES CORP is a pharmacy in Coral Gables, FL. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. The assigned NPI number for this provider is 1518235100 and is registered as an organization entity type.

The provider's business address is:

5549 SW 8 STREET
CORAL GABLES, FL
ZIP 33134
Phone: (305) 364-5807
Fax: (306) 603-8908

The provider's authorized official is Odalys Aguilera .
The authorized official title is President and has the following contact phone number (305) 364-5807.

The enumeration date for this NPI number is 12/9/2011 and was last updated on 12/9/2011.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 333600000X Pharmacy PH25784 FL Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1518235100 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name CMA PHARMACY & SUPPLIES CORP The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider First Line Business Practice Location Address 5549 SW 8 STREET The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
6 Provider Business Practice Location Address City Name CORAL GABLES The city name in the location address of the provider being identified.
7 Provider Business Practice Location Address State Name FL The State code in the location of the provider being identified.
8 Provider Business Practice Location Address Postal Code 33134 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
9 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
10 Provider Business Practice Location Address Telephone Number 3053645807 The telephone number associated with the location address of the provider being identified.
11 Provider Business Practice Location Address Fax Number 3066038908 The fax number associated with the location address of the provider being identified.
12 Provider Enumeration Date 12/9/2011 The date the provider was assigned a unique identifier (assigned an NPI).
13 Last Update Date 12/9/2011 The date that a record was last updated or changed.
14 Authorized Official Last Name AGUILERA The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
15 Authorized Official First Name ODALYS The first name of the authorized official.
16 Authorized Official Title or Position PRESIDENT The title or position of the authorized official.
17 Authorized Official Telephone Number 3053645807 The 10-position telephone number of the authorized official.
18 Healthcare Provider Taxonomy Code 1 333600000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
19 Provider License Number 1 PH25784 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
20 Provider License Number State Code 1 FL The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Is Organization Subpart N
23 Authorized Official Name Prefix Text MR.

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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