=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154593556
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PILLS PLUS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/26/2008
-----------------------------------------------------
Last Update Date | 02/03/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7801 NW 146TH ST
-----------------------------------------------------
City | MIAMI LAKES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33016-1504
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-698-0021
-----------------------------------------------------
Fax | 305-698-0023
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7801 NW 146TH ST
-----------------------------------------------------
City | MIAMI LAKES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33016-1504
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-698-0021
-----------------------------------------------------
Fax | 305-698-0023
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MRS. INES GOMES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 305-698-0021
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | PH24144
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------