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PRESTAB CO
NPI 1730261033
Pharmacy - Community/Retail Pharmacy in Doral, FL

Active since October 19, 2006
3016 NW 79TH AVE, DORAL, FL 33122(305) 599-1643(305) 599-1663 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prestab Co NPPES

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

PRESTAB CO (NPI 1730261033) is a healthcare organization registered as a community/retail pharmacy in Doral, Florida and active in the NPI registry since October 2006. The organization lists Alexis M. Basulto, President, as its authorized official.

NPPES Registry Identity

NPI1730261033
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePRESTAB CO
Location Address3016 NW 79TH AVEDoral, FL 33122-1010
Mailing Address3016 Nw 79th AveDoral, FL 33122-1010 · (305) 599-1643 · Fax (305) 599-1663
Phone(305) 599-1643
Fax(305) 599-1663
Organization SubpartNo
Authorized OfficialAlexis M. BasultoPresident · (305) 599-7000
Enumeration DateOctober 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1730261033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in FL · PH19462
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.
3016 NW 79TH AVE, Doral, FL 33122
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Other Identifiers 1

Medicaid02697010FL

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 Prestab Co's NPI number?

The NPI number for Prestab Co is 1730261033. It was assigned to this organization in the NPPES registry on October 19, 2006.

Where is Prestab Co located?

Prestab Co is located at 3016 NW 79th Ave, Doral, FL 33122. The listed phone number is (305) 599-1643.

What is Prestab Co'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 Prestab Co was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.