Healthcare Provider Details

I. General information

NPI: 1073424339
Provider Name (Legal Business Name): INTER X PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16875 NW 2ND AVE STE 603 SUITE 603
NORTH MIAMI BEACH FL
33169
US

IV. Provider business mailing address

16875 NW 2ND AVE STE 603 SUITE 603
NORTH MIAMI BEACH FL
33169
US

V. Phone/Fax

Practice location:
  • Phone: 305-714-0005
  • Fax:
Mailing address:
  • Phone: 305-714-0005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CLAUDIO ILTON REIS DE MACEDO
Title or Position: OWNER
Credential:
Phone: 305-319-1515