1. Home
  2. Directory
  3. Florida
  4. Miami
  5. Pharmacy
  6. NPI Profile

PROMINENT MEDICAL INC.
NPI 1487962700
Pharmacy - Community/Retail Pharmacy in Miami, FL

Active since September 21, 2010
17452 SW 104TH AVE, MIAMI, FL 33157(786) 573-1712(305) 969-3115 Get Directions Write a Review

NPPES record last updated: November 23, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prominent Medical Inc. NPPES

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

PROMINENT MEDICAL INC. (NPI 1487962700) is a healthcare organization registered as a community/retail pharmacy in Miami, Florida and active in the NPI registry since September 2010. The organization lists Raymond Harris, Owner, as its authorized official.

NPPES Registry Identity

NPI1487962700
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePROMINENT MEDICAL INC
Location Address17452 SW 104TH AVEMiami, FL 33157-4200
Mailing Address17452 Sw 104th AveMiami, FL 33157-4200 · (786) 573-1712 · Fax (305) 969-3115
Phone(786) 573-1712
Fax(305) 969-3115
Organization SubpartNo
Authorized OfficialRaymond HarrisOwner · (786) 573-1712
Enumeration DateSeptember 21, 2010
Last NPPES UpdateNovember 23, 2010
✔ NPI 1487962700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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 health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
17452 SW 104TH AVE, Miami, FL 33157
Open in Google Maps ↗

Other Names 1

Doing Business AsProminent Medical Inc.

Other Identifiers 1

Other5702774Ncpdp Provider Identification Number

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 Prominent Medical Inc's NPI number?

The NPI number for Prominent Medical Inc is 1487962700. It was assigned to this organization in the NPPES registry on September 21, 2010. The provider is doing business as Prominent Medical Inc..

Where is Prominent Medical Inc located?

Prominent Medical Inc is located at 17452 SW 104th Ave, Miami, FL 33157. The listed phone number is (786) 573-1712.

What is Prominent Medical Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Prominent Medical Inc was last updated on November 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.