PRIMARY PHARMACY, INC. (NPI# 1134226764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134226764 |
| Entity Type | Organization |
| Organization Name | PRIMARY PHARMACY, INC. |
| Practice Address |
12837 Sw 42nd St Miami FL 33175-3433 |
| Practice Telephone | 3052074666 |
| Practice Fax Number | 3052074600 |
| Mailing Telephone | 3052074666 |
| Mailing Fax Number | 3052074600 |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2008-02-19 |
| Authorized Official Name | MR. VLADIMIR RODRIGUEZ (PRESIDENT) |
| Authorized Official Telephone | 3052074666 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PH22147 | FL | Suppliers |
| Street Address |
12837 SW 42ND ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-3433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885965 | Kevin Bernardo Gonzalez | Behavior Technician | 11895 Sw 37 St, Miami, FL 33175 | 2020-06-11 |
| 1619509106 | Gladysbel Lorenzo | Nurse Practitioner | 11740 Sw 42st, Miami, FL 33175 | 2020-02-12 |
| 1154885200 | Vanessa Arzola Dmd Pa and Associates | Clinic/Center | 13419 Sw 56th Street, Miami, Miami, FL 33175 | 2019-01-23 |
| 1588145932 | Mailen Gonzalez | Nurse Practitioner | 12294 Sw 29 Ter, Miami, FL 33175 | 2018-08-23 |
| 1639655350 | Carolina Marie Trueba | Behavior Technician | 12825 Sw 49th Terr, Miami, FL 33175 | 2018-07-16 |
| 1033611504 | Joan Coro | Behavior Technician | 12905 Sw 42nd St Suite 219, Miami, FL 33175 | 2018-03-01 |
| 1417456864 | Ignacio Alzugaray | Nurse Practitioner | 12317 Sw 20th Ter, Miami, FL 33175 | 2018-02-12 |
| 1215436993 | Desiree Rengifo-glasgow | Nurse Practitioner | 11865 Sw 26th St Ste J2, Miami, FL 33175 | 2018-02-07 |
| 1639678691 | Behavior Professional Consultants Corp. | Community/Behavioral Health | 2460 Sw 137th Ave 242, Miami, FL 33175 | 2018-02-06 |
| 1992204291 | Humberto Lorenzo Paez | Nurse Practitioner | 4205 Sw 136th Place, Miami, FL 33175 | 2018-02-02 |
| Find all providers in zip 33175 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740698927 | Med-lab Compounding | Pharmacy | 9963 Sw 142nd Ave, Miami, FL 33186 | 2014-07-31 |
| 1629316500 | Chori Corp | Pharmacy | 10825 Nw 17th St, Suite 105, Miami, FL 33172-2016 | 2013-01-28 |
| 1902156284 | Fill-a-script Pharmacy | Pharmacy | 2500 Sw 107th Ave Ste 30, Miami, FL 33165-2492 | 2012-09-14 |
| 1740557461 | Mayar Pharmacy, Inc | Pharmacy | 12910 Sw 133rd Ct, Suite A, Miami, FL 33186-6584 | 2011-11-23 |
| 1003194994 | Aids Healthcare Foundation | Pharmacy | 3661 S Miami Ave Ste 806, Miami, FL 33133-4214 | 2011-07-27 |
| 1144555467 | Pharmalife Consultant Inc | Pharmacy | 801 Sw 1st St, Miami, FL 33130-1207 | 2009-10-05 |
| 1124113949 | Fis's Care Pharmacy,inc. | Pharmacy | 15190 Sw 136th St Ste 27, Miami, FL 33196-2618 | 2006-10-04 |
| 1801840079 | Atlantic Pharmacy Services Inc | Pharmacy | 4908 Sw 72nd Ave, Suite C, Miami, FL 33155-5548 | 2006-05-20 |
| 1730189523 | Medicor Healthchoice Inc | Pharmacy | 10825 Nw 17 Street, Suite 105, Miami, FL 33172-2019 | 2005-07-22 |
| 1194289157 | Public Health Trust of Miami Dade County Florida | Pharmacy | 9333 Sw 152nd Street, Miami, FL 33157 | 2019-01-24 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.