Healthcare Provider Details

I. General information

NPI: 1386576197
Provider Name (Legal Business Name): JYJ PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8756 SW 8TH ST
MIAMI FL
33174-3201
US

IV. Provider business mailing address

8756 SW 8TH ST
MIAMI FL
33174-3201
US

V. Phone/Fax

Practice location:
  • Phone: 786-534-4608
  • Fax: 786-534-4771
Mailing address:
  • Phone: 786-534-4608
  • Fax: 786-534-4771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: YANEISY CORREA VENTO
Title or Position: OWNER
Credential: APRN
Phone: 786-223-9751