PRESTAB CO (NPI# 1730261033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730261033 |
| Entity Type | Organization |
| Organization Name | PRESTAB CO |
| Practice Address |
3016 Nw 79th Ave Doral FL 33122-1010 |
| Practice Telephone | 3055991643 |
| Practice Fax Number | 3055991663 |
| Mailing Telephone | 3055991643 |
| Mailing Fax Number | 3055991663 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ALEXIS M. BASULTO (PRESIDENT) |
| Authorized Official Telephone | 3055997000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH19462 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 02697010 | 05 |
| Street Address |
3016 NW 79TH AVE |
| City | DORAL |
| State | FL |
| Zip Code | 33122-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215451323 | Corpo Therapy Inc | Registered Nurse | 7500 Nw 25 St Suite 202, Miami, FL 33122 | 2017-07-31 |
| 1538605993 | Jany Rodriguez | Behavioral Analyst | 2500 Sw 79th Ave Suite 116, Doral, FL 33122 | 2017-01-10 |
| 1699120840 | Healthworks Med Group of Florida P A | Clinic/Center | 4450 Nw 22nd Street Building 3095, Concourse D/e, Md 3000, Miami, FL 33122 | 2016-04-25 |
| 1396171740 | Ileana Caridad Daumy | Pharmacist | 8250 Nw 27th Street #311, Miami, FL 33122 | 2013-09-17 |
| 1821343823 | Maria Alexandra Restrepo | Clinical Nurse Specialist | 8400 Sw 33st, Miami, FL 33122 | 2012-07-17 |
| 1093083941 | Amalia R Humeniuk | Pharmacist | 8250 Nw 27th St Ste 311, Doral, FL 33122 | 2011-12-07 |
| 1891096525 | Therapy Medical Center Inc | Clinic/Center | 2550 Nw 72th Ave #113, Miami, FL 33122 | 2010-11-11 |
| 1730412750 | Bruno Contro | Chiropractor | 8200 Nw 33rd St, Ste 407, Doral, FL 33122 | 2009-09-09 |
| 1629220397 | The American Green Cross, Inc | Secured Medical Transport (VAN) | 2500 Nw 79th Ave., Suite 232, Miami, FL 33122 | 2008-10-14 |
| 1275739567 | Family Care Center of North Miami | Clinic/Center | 7525 Nw 25th St, #203, Miami, FL 33122 | 2007-06-22 |
| Find all providers in zip 33122 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003389768 | Mimed Pharmacy, LLC | Pharmacy | 7758 Nw 46th St, Doral, FL 33166-5460 | 2019-01-05 |
| 1548669120 | Fords Pharmacy | Pharmacy | 8280 Nw 27th St Ste 503, Doral, FL 33122-1905 | 2014-08-19 |
| 1366851529 | Chronic Care Pharmaceutical Services, LLC | Pharmacy | 1725 Nw 79th Ave, Doral, FL 33126-1112 | 2014-08-12 |
| 1902167125 | Alhambra Pharmacy Inc | Pharmacy | 4815 Nw 79th Ave Ste 1, Doral, FL 33166-5437 | 2012-06-05 |
| 1063550325 | Pal Laboratories Inc. | Pharmacy | 10655 Nw 29th Ter, Doral, FL 33172-2197 | 2007-02-01 |
| 1295827301 | Ultima Rx LLC | Pharmacy | 3900 Nw 79th Avenue, Suite 216, Doral, FL 33166 | 2006-09-28 |
| 1881798858 | Holiday Cvs LLC | Pharmacy | 10701 Nw 41st St, Doral, FL 33178-1867 | 2006-09-12 |
| 1033124425 | Leomeli Investments Corp | Pharmacy | 5211 Nw 79th Ave, Doral, FL 33166-4715 | 2006-07-31 |
| 1851338230 | Hci Specialty Pharmacy, LLC | Pharmacy | 8320 Nw 30th Ter, Doral, FL 33122-1915 | 2006-06-02 |
| 1003860933 | Lizmar of South Florida, Inc. | Pharmacy | 9676 Nw 25th St, Doral, FL 33172-1403 | 2006-05-22 |
| Find all providers in DORAL | ||||
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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.