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COMMCARE PHARMACY MIA LLC NPI 1063423606


NPI Information

NPI: 1063423606
Provider Name: COMMCARE PHARMACY MIA LLC

Doing Business As: COMMCARE PHARMACY MIA

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
1801 CORAL WAY
STE 115
MIAMI, FL
ZIP 33145
Phone: (305) 854-5535
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COMMCARE PHARMACY MIA LLC is a specialty pharmacy pharmacy in Miami, FL. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. COMMCARE PHARMACY MIA LLC NPI is 1063423606. The provider is registered as an organization entity type.
The provider Is Doing Business As Commcare Pharmacy Mia.

The provider's business location address is:

1801 CORAL WAY
STE 115
MIAMI, FL
ZIP 33145-790
Phone: (305) 854-5535
Fax: (305) 854-5929

The provider's authorized official is Richard Dougherty .
The authorized official title is Coo and has the following contact phone number (954) 332-6170.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 6/20/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacyNo
33336S0011XPharmacySpecialty PharmacyPH21974FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12006806OTHERPK
25376450001MEDICARE NSC
3031649100MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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