Organization · Type 2 NPI

Public Health Trust of Miami Dade County Florida

Community/Retail Pharmacy · Miami, FL

NPI number 1194289157 Active

Practice location

9333 SW 152nd Street
Miami, FL 33157

Call (305) 256-5182 Map

Fax (305) 256-5183

Mailing address

PO Box 12493
Miami, FL 33101-2493

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed
Specialty Pharmacy	3336S0011X	None listed

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 …

3 other providers at this address

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NPI record

NPI: 1194289157
Entity type: Organization (Type 2)
Issued: Jan 24, 2019
Last updated: Jan 24, 2019
Status: Active
Subpart: Yes of Public Health Trust of Miami Dade County Florida

Other names

Jackson Pharmacy Jackson South · doing business as

Authorized official

Mr. Mark T Knight, CPA
Chief Financial Officer
(305) 585-4211

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194289157

Public Health Trust of Miami Dade County Florida's National Provider Identifier is 1194289157, issued on Jan 24, 2019. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Miami, FL. The record was last updated on Jan 24, 2019.