WELLNESS RX AT PENALVER LLC (NPI# 1356619456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356619456 |
| Entity Type | Organization |
| Organization Name | WELLNESS RX AT PENALVER LLC |
| Other Organization Name | WELLNESS RX AT PENALVER |
| Practice Address |
971 Nw 2nd St Miami FL 33128-1205 |
| Practice Telephone | 3055454860 |
| Practice Fax Number | 3055454867 |
| Mailing Telephone | 3055454860 |
| Mailing Fax Number | 3055454867 |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2012-04-16 |
| Authorized Official Name | ANGEL GARCIA (PHARMACY MANAGER) |
| Authorized Official Telephone | 3055454860 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH 25805 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5708346 | 01 |
| Other Name | Type Code |
|---|---|
| Wellness RX at Penalver | Doing Business As Name - Organization |
| Street Address |
971 NW 2ND ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33128-1205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598701823 | Teatino Ernesto Camacho | Family Medicine | 971 Nw 2nd St, Miami, FL 33128-1205 | 2006-06-22 |
| 1669982773 | Ana Maria Caycedo | Dental Hygienist | 971 Nw 2nd St, Miami, FL 33128-1205 | 2017-10-03 |
| 1851671564 | Tomas Julian Garcia | Physician Assistant | 971 Nw 2nd St, Miami, FL 33128-1205 | 2011-08-25 |
| 1306126016 | Danielle Nicole Gutierrez | Physician Assistant | 971 Nw 2nd St, Miami, FL 33128-1205 | 2011-08-25 |
| 1316247026 | Youssef Mouhayar | Obstetrics & Gynecology | 971 Nw 2nd St, Miami, FL 33128-1205 | 2010-10-27 |
| 1700116696 | John Sragowicz | Physician Assistant | 971 Nw 2nd St, Miami, FL 33128-1205 | 2009-12-28 |
| 1003058330 | Madeline De Los Milagros Castro | Internal Medicine | 971 Nw 2nd St, Miami, FL 33128-1205 | 2009-04-01 |
| 1598930653 | Marie-sonie Jeannot | Pharmacist | 971 Nw 2nd St, Miami, FL 33128-1205 | 2008-04-29 |
| 1194851428 | Deborah Susan Carlone | Internal Medicine | 971 Nw 2nd St, Miami, FL 33128-1205 | 2007-02-23 |
| 1407913791 | Maria P. Lopez-cepero | Pharmacist | 971 Nw 2nd St, Miami, FL 33128-1205 | 2007-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033662176 | Clara Herrera | Behavior Technician | 652 Nw 3rd St Apt 201, Miami, FL 33128 | 2016-07-25 |
| 1851715254 | Marlins Pharmacy & Discount Inc | Pharmacy | 439-441 Nw 12 Ave, Miami, FL 33128 | 2014-02-06 |
| 1083959589 | Santiago Alejandre | Occupational Therapist | 899 Nw 3rd St, Miami, FL 33128 | 2012-12-10 |
| 1538255146 | Juan Antonio Enriquez | Family Medicine | 237 Nw 12th Ave, Suite A-d, Miami, FL 33128 | 2006-10-04 |
| 1134259518 | Howard Levine | Dentist | 127 Nw 12th Ave, Miami, FL 33128-1008 | 2007-03-06 |
| 1154921757 | Belkys Clavero Fernandez | Dental Hygienist | 127 Nw 12th Ave, Miami, FL 33128-1008 | 2020-11-01 |
| 1013418318 | Caring Dental Services | Dentist | 127 Nw 12th Ave, Miami, FL 33128-1008 | 2018-02-22 |
| 1730617846 | Howard Levine Dds, Pa | Dentist | 127 Nw 12th Ave, Miami, FL 33128-1008 | 2017-06-02 |
| 1053627125 | Elizabeth Montalvo | Counselor | 101 Nw 12th Ave, Miami, FL 33128-1008 | 2010-08-26 |
| 1649223504 | Healthy Minds Cmhc Inc | Clinic/Center | 101 Nw 12th Ave, Miami, FL 33128-1008 | 2006-05-19 |
| Find all providers in zip 33128 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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] |
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| 1659934024 | Remedy Box Pharmacy,inc | Pharmacy | 10000 Sw 56th St Ste 9, Miami, FL 33165-7161 | 2019-04-20 |
| 1265995971 | Adgrx, Inc. | Pharmacy | 10910 W Flagler St Ste 112, Miami, FL 33174-1218 | 2019-04-09 |
| 1962968552 | Good Pharmacy | Pharmacy | 16741 Sw 95th St, Miami, FL 33196-4757 | 2019-02-19 |
| 1447724422 | Easy Scripts West Chester, LLC | Pharmacy | 9796 Sw 24th St, Miami, FL 33165-7574 | 2019-01-14 |
| 1134691660 | A&n Pharmacy Inc | Pharmacy | 1701 W. Flagler St, Suite 322, Miami, FL 33135 | 2018-12-21 |
| 1508337569 | Ava Pharmacy Corp | Pharmacy | 526 Sw 57 Ave, Miami, FL 33144 | 2018-12-16 |
| 1548731631 | Grand 7 Th Pharmacy By Kwik Stop | Pharmacy | 3135 Grand Ave, Miami, FL 33133-5103 | 2018-12-16 |
| 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.