MEDICARE: AMZ GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639757198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMZ GROUP LLC

Provider Business Mailing Address
First Line	:	450 NE 125TH ST
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-4754
Country	:	US
Telephone Number	:	786-391-3771
Fax Number	:	786-391-3769

Provider Business Practice Location Address
First Line	:	450 NE 125TH ST
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-4754
Country	:	US
Telephone Number	:	305-677-1221
Fax Number	:	888-958-7891

Authorized Official
Title or Position	:	CFO
Name	:	STEPHEN O BANJOKO
Credential	:
Telephone Number	:	813-341-4000

Provider Enumeration Date	:	03/29/2021
Last Update Date	:	01/21/2026

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Directions to “AMZ GROUP LLC ” Practice Location

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