MEDICARE: SPRINGS DRUG STORE INC

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	3336C0003X	Community/Retail Pharmacy		FL

General Provider Information

NPI Number	:	1154748630
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRINGS DRUG STORE INC

Provider Business Mailing Address
First Line	:	450 NE 125TH ST
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-4754
Country	:	US
Telephone Number	:	305-863-7333
Fax Number	:	305-863-7399

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	:	305-863-7333
Fax Number	:	305-863-7399

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SADIEL BASULTO
Credential	:
Telephone Number	:	305-863-7333

Provider Enumeration Date	:	03/24/2014
Last Update Date	:	03/17/2018

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1790236339 — SPRING DRUG STORE, INC
Practice Location Address:

450 NE 125TH ST
NORTH MIAMI, FL
33161-4754

Practice Phone: 305-863-7333
Practice Fax: 305-863-7399

1811430945 — BOOTS LLC
Practice Location Address:

450 NE 125TH ST
NORTH MIAMI, FL
33161-4754

Practice Phone: 305-677-1221
Practice Fax:

1639757198 — AMZ GROUP LLC
Practice Location Address:

450 NE 125TH ST
NORTH MIAMI, FL
33161-4754

Practice Phone: 305-677-1221
Practice Fax: 888-958-7891

1598066607 — NASIYA DENISE HALLMON
Practice Location Address:

4754 NW 11TH AVE
MIAMI, FL
33127-2256

Practice Phone: 305-951-7497
Practice Fax:

1194024695 — DR. ANNIE L CASTA M.D.
Practice Location Address:

1060 SW 67TH AVE
MIAMI, FL
33144-4754

Practice Phone: 786-353-2573
Practice Fax: 786-353-2587

Directions to “SPRINGS DRUG STORE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.