JACKSON SOUTH COMMUNITY HOSPITAL PHARMACY
NPI 1295806727
Pharmacy - Institutional Pharmacy in Miami, FL

NPI Status: Active since November 13, 2006

Contact Information

9333 SW 152 STREET
MIAMI, FL
ZIP 33157
Phone: (305) 256-5180

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  • Organization
  • Pharmacy
  • Institutional Pharmacy
  • CLIA Number: 10D0713286
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 09-15-2027

About JACKSON SOUTH COMMUNITY HOSPITAL PHARMACY

This page provides the complete NPI Profile along with additional information for Jackson South Community Hospital Pharmacy, a provider established in Miami, Florida operating as a Pharmacy, focusing in institutional pharmacy . The healthcare provider is registered in the NPI registry with number 1295806727 assigned on November 2006. The practitioner's primary taxonomy code is 3336I0012X with license number 17986 (FL). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Jackson South Community Hospital Pharmacy. The authorized official of this NPI record is Dr. Eneida O Roldan M.d. (President Ceo)

NPI
1295806727
Provider Legal Name
PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA
Other Organization Name
JACKSON SOUTH COMMUNITY HOSPITAL PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9333 SW 152 STREET MIAMI, FL 33157
Location Phone
(305) 256-5180
Mailing Address
9333 SW 152 STREET MIAMI, FL 33157
Mailing Phone
(305) 256-5180
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-13-2006
Last Update Date
06-09-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Institutional Pharmacy

Taxonomy Code
3336I0012X
Type
Suppliers
License No.
17986
License State
FL
Taxonomy Description
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
13336C0003XSuppliers

Pharmacy
Community/Retail Pharmacy

17985 (FL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ENEIDA O ROLDAN M.D.

Authorized Official Title
PRESIDENT CEO
Authorized Official Phone
(305) 585-6754

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
AH5860829MEDICARE UPIN (02)FL 
100022MEDICARE ID-TYPE UNSPECIFIED (04)FLMEDICARE

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D0713286
Facility Type
Hospital
Certificate Effective Date
September 16, 2025
Certificate Expiration Date
September 15, 2027
Laboratory Director
DR. ANDREW PASTEWSKI
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Jackson South Community Hospital Pharmacy on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1295806727, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 8 → 16 → 7 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 8 + 5 + 1 + 6 + 0 + 1 + 2 + 7 + 4 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1295806727.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295806727, enumerated as an "organization" on November 13, 2006.

The provider is located at 9333 SW 152 STREET MIAMI, FL 33157 and the phone number is (305) 256-5180.

Pharmacy with taxonomy code 3336I0012X and a focus in Institutional Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.