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PHARMACY AT 100 NW 170TH ST, LLC
NPI 1215789946
Pharmacy - Compounding Pharmacy in Miami Lakes, FL

Active since April 04, 2024
15485 EAGLE NEST LN STE 230, MIAMI LAKES, FL 33014(917) 440-1529 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pharmacy At 100 Nw 170th St, Llc NPPES

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

PHARMACY AT 100 NW 170TH ST, LLC (NPI 1215789946), doing business as Dpr Pharmacy, is a healthcare organization registered as a compounding pharmacy in Miami Lakes, Florida and active in the NPI registry since April 2024. The organization lists Richard Ray, Owner, as its authorized official.

NPPES Registry Identity

NPI1215789946
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NamePHARMACY AT 100 NW 170TH ST, LLC
Location Address15485 EAGLE NEST LN STE 230Miami Lakes, FL 33014-2222
Mailing Address15485 Eagle Nest Ln Ste 230Miami Lakes, FL 33014-2222 · (917) 440-1529
Phone(917) 440-1529
Organization SubpartNo
Authorized OfficialRichard RayOwner · (917) 440-1529
Enumeration DateApril 4, 2024
NPPES CertifiedApril 4, 2024
✔ NPI 1215789946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
15485 EAGLE NEST LN STE 230, Miami Lakes, FL 33014
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Other Names 1

Doing Business AsDpr Pharmacy

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 Pharmacy At 100 NW 170th St, LLC's NPI number?

The NPI number for Pharmacy At 100 NW 170th St, LLC is 1215789946. It was assigned to this organization in the NPPES registry on April 4, 2024. The provider is doing business as Dpr Pharmacy.

Where is Pharmacy At 100 NW 170th St, LLC located?

Pharmacy At 100 NW 170th St, LLC is located at 15485 Eagle Nest Ln Ste 230, Miami Lakes, FL 33014. The listed phone number is (917) 440-1529.

What is Pharmacy At 100 NW 170th St, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Pharmacy At 100 NW 170th St, LLC was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.