GREY DOG III, INC (NPI# 1376898015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376898015 |
Entity Type | Organization |
Organization Name | GREY DOG III, INC |
Other Organization Name | JERRY'S WEST KENDALL PHARMACY |
Practice Address |
15955 Sw 96th St Suite 105 Miami FL 33196-1271 |
Practice Telephone | 3057520080 |
Practice Fax Number | 3057520065 |
Mailing Telephone | 3057520080 |
Mailing Fax Number | 3057520065 |
Enumeration Date | 2012-07-18 |
Last Update Date | 2012-07-18 |
Authorized Official Name | MR. GERALD GEIST (PRESIDENT) |
Authorized Official Telephone | 3054126707 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH26201 | FL | Suppliers |
Other Name | Type Code |
---|---|
Jerry's West Kendall Pharmacy | Doing Business As Name - Organization |
Street Address |
15955 SW 96TH ST SUITE 105 |
City | MIAMI |
State | FL |
Zip Code | 33196-1271 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528052388 | Agustin Javier Arrieta | Otolaryngology | 15955 Sw 96th St, Suite 303, Miami, FL 33196-1271 | 2005-09-08 |
1811423858 | Nicole Ross | Family Medicine | 15955 Sw 96th St, Suite 200, Miami, FL 33196-1271 | 2017-05-11 |
1801269402 | Jose Alejandro Pazos-perez | Physician Assistant | 15955 Sw 96th St, Suite 102, Miami, FL 33196-1271 | 2015-11-04 |
1497126387 | Francis Wamamera Walwema | Nurse Practitioner | 15955 Sw 96th St, Suite #406a, Miami, FL 33196-1271 | 2015-10-17 |
1598135758 | Jacqueline Dominguez | Nurse Practitioner | 15955 Sw 96th St, Suite 200, Miami, FL 33196-1271 | 2015-09-30 |
1902281637 | Denisys Tunez | Nurse Practitioner | 15955 Sw 96th St, Suite 306, Miami, FL 33196-1271 | 2015-07-23 |
1730575556 | Gabriel Raul Suarez | Family Medicine | 15955 Sw 96th St, Suite 205, Miami, FL 33196 | 2015-04-08 |
1497152730 | Susana Placencia | Specialist/Technologist | 15955 Sw 96th St, Miami, FL 33196-1271 | 2014-12-02 |
1124388954 | Danielle Pech Carson | Registered Nurse | 15955 Sw 96th St, Suite 102, Miami, FL 33196-1271 | 2012-05-27 |
1649508342 | Tatiana Perez Ivan | Family Medicine | 15955 Sw 96th St, Miami, FL 33196-1271 | 2009-11-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497367825 | Lian Linares Izquierdo | Behavior Technician | 11571 Sw 110th Ter, Miami, FL 33196 | 2020-08-18 |
1780208827 | Ohama Fuster | Assistant Behavior Analyst | 15560sw 111ter., Miami, FL 33196 | 2020-06-04 |
1346870516 | Belkis Leonor Rodriguez | Assistant Behavior Analyst | 9798 Sw 147 Pl, Miami, FL 33196 | 2020-01-16 |
1386109692 | Hercule Lamur | Family Medicine | 14768 Sw 158 Path, Miami, FL 33196 | 2019-01-31 |
1457824823 | Kelsie Marie Riveron | Student in an Organized Health Care Education/Training Program | 16461 Sw 99 St, Miami, FL 33196 | 2019-01-08 |
1629545330 | Irene Roldan | Nurse Practitioner | 15971 Sw 138 Ter, Miami, FL 33196 | 2018-10-31 |
1114414240 | Daniel Gil De Lamadrid | Student in an Organized Health Care Education/Training Program | 15955 Sw 96 Street, Suite 200, Miami, FL 33196 | 2018-04-14 |
1649776774 | Janet Martinez | Developmental Therapist | 9141 Sw 153rd Psge, Miami, FL 33196 | 2018-04-05 |
1174027247 | Juntos Behavioral & Mental Benefits Corp. | Behavioral Analyst | 9532 Sw 167th Ave, Miami, FL 33196 | 2018-03-22 |
1487165239 | Medhealth Billing Services LLC | Contractor | 14790 N Kendall Dr. #961595, Miami, FL 33196 | 2017-10-19 |
Find all providers in zip 33196 |
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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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.