MED-SOURCE PHARMACY SERVICES CORP (NPI# 1912145582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912145582 |
| Entity Type | Organization |
| Organization Name | MED-SOURCE PHARMACY SERVICES CORP |
| Practice Address |
2223 Sw 13th Ave Suite B Miami FL 33145-3920 |
| Practice Telephone | 3058547377 |
| Practice Fax Number | 3058547327 |
| Mailing Telephone | 3058547377 |
| Mailing Fax Number | 3058547327 |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2015-07-28 |
| Authorized Official Name | DR. ARTURO GONZALEZ (CEO) |
| Authorized Official Telephone | 3058547377 |
| Authorized Official Credential | DNP,ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PH23665 | FL | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH 23666 | FL | Suppliers |
| Street Address |
2223 SW 13TH AVE SUITE B |
| City | MIAMI |
| State | FL |
| Zip Code | 33145-3920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700024049 | Newage Sa Corp | Preferred Provider Organization | 2223 Sw 13th Ave, # 300, Miami, FL 33145-3920 | 2009-01-24 |
| 1992103444 | Lissette Maria Ferreiro | Pharmacist | 2223 Sw 13th Ave, Miami, FL 33145-3920 | 2014-12-16 |
| 1952623506 | Medsource Consultants LLC | Nurse Practitioner | 2223 Sw 13th Ave, Suite A, Miami, FL 33145-3920 | 2010-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711298 | Silvia Barbara Nunez | Behavior Technician | 2343 Sw 17th Terrace, Miami, FL 33145 | 2020-08-18 |
| 1669030813 | Macrina Morera Martinez | Behavior Technician | 3191 Sw 14th St Apt 3, Miami, FL 33145 | 2019-06-03 |
| 1275013898 | Ana Diez Sampedro | Nurse Practitioner | 1921 Sw 33rd Ct, Miami, FL 33145 | 2018-08-14 |
| 1811489461 | Riviera Tu Comida Favorita Corp. | Home Delivered Meals | 3138 Coral Way, Miami, FL 33145 | 2018-05-30 |
| 1710475587 | Mayte Gentil Gomez | Nurse Practitioner | 3536 Sw 22 Terrace, Miami, FL 33145 | 2018-04-27 |
| 1073027967 | Ismaray Morejon | Behavior Technician | 1407 Sw 19th St, Miami, FL 33145 | 2017-11-30 |
| 1154833176 | Yuniar Porto Jimenez | Nurse Practitioner | 2021 Sw 23 Terrace, Miami, FL 33145 | 2017-10-31 |
| 1447769013 | Nidal Qaad | Nurse Practitioner | 3500 Coral Way, Apt 1002, Miami, FL 33145 | 2017-09-26 |
| 1821514209 | Angelica Maria Gonzalez | Behavior Technician | 3506 Sw 23rd Ter, Miami, FL 33145 | 2017-08-17 |
| 1639692924 | Yaile Espino Fernandez | Behavior Technician | 3660 Sw 16th Ter Apt #2, Miami, FL 33145 | 2017-07-19 |
| Find all providers in zip 33145 | ||||
| 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 |
|---|---|---|---|---|
| 1689280851 | Unique Pharmacy Corp | Pharmacy | 7800 Sw 87th Ave Ste 210b, Miami, FL 33173-2537 | 2020-09-22 |
| 1588298012 | Infinity Phamacy Corp | Pharmacy | 10521 Sw 40th St Ste A, Miami, FL 33165-3747 | 2020-02-24 |
| 1518529809 | Maik Pharmacy Corp | Pharmacy | 10521 Sw 40th St # 102, Miami, FL 33165-3747 | 2019-07-08 |
| 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.