SOUTH PACIFIC PHARMACY (NPI# 1396099925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396099925 |
| Entity Type | Organization |
| Organization Name | SOUTH PACIFIC PHARMACY |
| Practice Address |
1800 Sw 1st St Suite 101 Miami FL 33135-1960 |
| Practice Telephone | 3056420180 |
| Practice Fax Number | 3056420190 |
| Mailing Telephone | 3056420180 |
| Mailing Fax Number | 3056420190 |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |
| Authorized Official Name | MR. JUAN CARLOS ARAGON (PRESIDENT OWNER) |
| Authorized Official Telephone | 3056420180 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PH24055 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA BOARD OF PHARMACY | PH24055 | 01 |
| Street Address |
1800 SW 1ST ST SUITE 101 |
| City | MIAMI |
| State | FL |
| Zip Code | 33135-1960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629026224 | C & R Medical Center, Inc. | Clinic/Center | 1800 Sw 1st St, Miami, FL 33135-1960 | 2006-05-05 |
| 1164039798 | Care Resource Community Health Centers, Inc. | Pharmacy | 1800 Sw 1st St, Miami, FL 33135-1960 | 2020-09-28 |
| 1790231728 | San Lazaro Medical Group, Inc | Family Medicine | 1800 Sw 1st St, Suite 102, Miami, FL 33135-1960 | 2016-08-30 |
| 1265665145 | Lazaro Roberto Diaz-nunez | Family Medicine | 1800 Sw 1st St, Miami, FL 33135-1960 | 2009-08-26 |
| 1225282452 | Ecd Medical Center Inc | General Practice | 1800 Sw 1st St, Suite 205, Miami, FL 33135-1960 | 2008-11-14 |
| 1285898007 | South East Medical Center of Miami Inc | General Practice | 1800 Sw 1st St, Suite 320, Miami, FL 33135-1960 | 2008-07-10 |
| 1922280361 | Hoyos Home Health Care Inc | Home Health | 1800 Sw 1st St, Suite 321, Miami, FL 33135-1964 | 2007-11-28 |
| 1528255858 | Ema Medical Center | Clinic/Center | 1800 Sw 1st St, Suite 210, Miami, FL 33135-1960 | 2007-10-01 |
| 1770626723 | Homestead Medical Center Corp | General Practice | 1800 Sw 1st St, Suite 208, Miami, FL 33135-1960 | 2007-02-15 |
| 1972646164 | Rigoberto Reguero Corp | General Practice | 1800 Sw 1st St, Suite 201, Miami, FL 33135-1960 | 2007-02-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601430 | Milagros Diaz Rodriguez | Behavior Technician | 1250 Sw 27 Ave, Suite 207, Miami, FL 33135 | 2020-02-20 |
| 1932739364 | Elizabeth Perez Vazquez | Behavior Technician | 1250 Sw 27 Ave Suite 207, Miami, FL 33135 | 2020-01-24 |
| 1134691660 | A&n Pharmacy Inc | Pharmacy | 1701 W. Flagler St, Suite 322, Miami, FL 33135 | 2018-12-21 |
| 1669952610 | Ileana Norma Rodriguez | Behavior Technician | 890 Sw 36th Ct, Miami, FL 33135 | 2018-08-20 |
| 1053801761 | Humberto Marchante | Massage Therapist | 327 Sw 30th Ave, Miami, FL 33135 | 2018-05-17 |
| 1336654904 | Daniela Vega | Behavior Technician | 1401 Sw 1 Street, Suite 100, Miami, FL 33135 | 2017-12-05 |
| 1609387133 | Latin Quarter Dental Pa | Clinic/Center | 1660 Sw 1 St, Miami, FL 33135 | 2017-10-24 |
| 1588173074 | Mildred E Meneses | Behavior Technician | 1971 Sw 4th St Apart 406, Miami, FL 33135 | 2017-09-27 |
| 1902320666 | Betzabeth Paredes | Behavior Technician | 429 Sw 29 Ave, Miami, FL 33135 | 2017-08-02 |
| 1386174977 | Milkos Ramon Hernandez Alvarez. | Nurse Practitioner | 2999 West Flagler St, Apt 10, Miami, FL 33135 | 2017-06-15 |
| Find all providers in zip 33135 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1932367687 | La Milagrosa Pharmacy & Discount LLC | Pharmacy | 432 Sw 8th Ave, Miami, FL 33130-2507 | 2008-05-29 |
| 1366619942 | Pazcare LLC | Pharmacy | 10800 Biscayne Blvd Ste 200, Miami, FL 33161-7400 | 2008-05-13 |
| 1265503445 | South Point Pharmacy | Pharmacy | 1864 West Flagler Street, Miami, FL 33135 | 2006-11-10 |
| 1720464811 | My Family Pharmacy & Discount, LLC | Pharmacy | 8410 W Flagler St, Suite 105-b, Miami, FL 33144-2092 | 2015-07-31 |
| 1003299967 | Caresmart Pharmacy 1, LLC | Pharmacy | 2955 Sw 8th St, Suite 103, Miami, FL 33135-2862 | 2015-07-09 |
| 1558619759 | Yong Pharmacy Discount | Pharmacy | 2324 Sw 67th Ave, Miami, FL 33155-1846 | 2012-08-17 |
| 1487952289 | Pronto Pharmacy Group Corp | Pharmacy | 6765 W Flagler St, Miami, FL 33144-2923 | 2011-03-03 |
| 1912145582 | Med-source Pharmacy Services Corp | Pharmacy | 2223 Sw 13th Ave, Suite B, Miami, FL 33145-3920 | 2009-02-04 |
| 1194730739 | Rx Sell | Pharmacy | 701 Nw 57th Ave, Ste 201, Miami, FL 33126-3275 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362519 | Fast & Friendly Ltc Pharmacy, LLC | Pharmacy | 3202 W Baker St, Plant City, FL 33563-2849 | 2020-10-02 |
| 1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
| 1316565146 | Rx Care 17 LLC | Pharmacy | 7142 N. University Drive, Tamarac, FL 33321 | 2020-07-08 |
| 1891318689 | Aviva Care Pharmacy LLC | Pharmacy | 2053 North University Drive, Sunrise, FL 33322 | 2020-05-27 |
| 1811526650 | Careone Pharmacy Services LLC | Pharmacy | 1455 E Airport Blvd, Sanford, FL 32773-6818 | 2020-04-03 |
| 1982239810 | Wamu LLC | Pharmacy | 85 Cypress Point Pkwy Unit C, Palm Coast, FL 32164-8455 | 2020-03-11 |
| 1477186724 | Central Tampa Pharmacy LLC | Pharmacy | 5010 N 40th St Ste 201, Tampa, FL 33610-5202 | 2020-02-14 |
| 1790317311 | Specialty Rx Fl, LLC | Pharmacy | 15461 Sw 12th St Ste 108, Sunrise, FL 33326-1996 | 2020-02-11 |
| 1700426970 | Shambhu Inc. | Pharmacy | 19214 Nw Us Highway 441 Ste 10, High Springs, FL 32643-8783 | 2020-01-15 |
| 1205475175 | Lordoni Discount Pharmacy Inc | Pharmacy | 6300 N Wickham Rd Ste 126, Melbourne, FL 32940-2037 | 2019-12-24 |
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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.