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JACKSON MEMORIAL HOSPITAL OUTPATIENT PHARMACY
NPI 1053789313
Pharmacy - Clinic Pharmacy in Miami, FL

Active since September 03, 2015CLIA Certified · 2 labs
1611 NW 12TH AVE, MIAMI, FL 33136(305) 585-5890(806) 242-0502 Get Directions Write a Review

NPPES record last updated: September 3, 2015. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Jackson Memorial Hospital Outpatient Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON MEMORIAL HOSPITAL OUTPATIENT PHARMACY (NPI 1053789313) is a healthcare organization registered as a clinic pharmacy in Miami, Florida and active in the NPI registry since September 2015. The organization holds 2 active CLIA laboratory certificates and lists Jan Robinson, Vp-contracting, as its authorized official.

NPPES Registry Identity

NPI1053789313
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NamePUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing AddressPo Box 864781Orlando, FL 32886-4781 · (806) 324-5507 · Fax (806) 324-5495
Phone(305) 585-5890
Fax(806) 242-0502
Organization SubpartNo
Authorized OfficialJan RobinsonVp-contracting · (806) 324-5507
Enumeration DateSeptember 3, 2015
✔ NPI 1053789313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License✔ Licensed in FL · PH0008215
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
1611 NW 12TH AVE, Miami, FL 33136
Open in Google Maps ↗

Other Names 1

Doing Business AsJackson Memorial Hospital Outpatient Pharmacy

Other Identifiers 1

Other2153844Pk

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D2082631

Jackson Memorial Hospital Dermatology Clinic · Miami, FL
Active · expires Aug 18, 2028
CLIA Number10D2082631
Laboratory TypeDermatology Clinic
Certificate Effective DateAugust 19, 2026
Certificate Expiration DateAugust 18, 2028
Laboratory DirectorDr. George W. Elgart
Laboratory Phone(305) 585-7348
Laboratory LocationJackson Memorial Hospital Dermatology Clinic1611 NW 12th Avenue Acc East, Miami, FL 33136
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Accreditation 10D0024301

Jackson Memorial Hospital Clinical Laboratory · Miami, FL
Active · expires Feb 27, 2027
CLIA Number10D0024301
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. David M. Andrews
Laboratory Phone(305) 585-6210
Laboratory LocationJackson Memorial Hospital Clinical Laboratory1611 NW 12th Avenue, Miami, FL 33136
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AKUA GYANEWAH ASARE MD
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 355-8264
MARILUZ SANCHEZ PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Miami-Dade County (305) 585-7309
DR. TASHA JOYTI N. D. COOKE TASHA COOKE
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-3670
DR. JUANITA ANN MARIE HUNTER M.D.
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-6042
WANDA LAVERNE MCGOWAN-BRAYNEN ARNP
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-1111
DR. PERTTI KALEVI HAKALA M.D.
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Miami-Dade County (305) 585-6970
JAYLOU M VELEZ TORRES M.D.
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-8381
ANNE-ISABELLE SOPHIA REME MD
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-1280

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Public Health Trust Of Dade County Florida's NPI number?

The NPI number for Public Health Trust Of Dade County Florida is 1053789313. It was assigned to this organization in the NPPES registry on September 3, 2015. The provider is doing business as Jackson Memorial Hospital Outpatient Pharmacy.

Where is Public Health Trust Of Dade County Florida located?

Public Health Trust Of Dade County Florida is located at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 585-5890.

What is Public Health Trust Of Dade County Florida's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Does Public Health Trust Of Dade County Florida hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Public Health Trust Of Dade County Florida was last updated on September 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.