MEDICARE: PROFESSIONAL PHARMACY SERVICES AND DME 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	3336L0003X	Long Term Care 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

General Provider Information

NPI Number	:	1861335804
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROFESSIONAL PHARMACY SERVICES AND DME INC.

Provider Business Mailing Address
First Line	:	8600 NW 17TH ST STE 100
Second Line	:
City	:	DORAL
State	:	FL
Zip	:	33126-1038
Country	:	US
Telephone Number	:	305-253-6634
Fax Number	:	305-253-6635

Provider Business Practice Location Address
First Line	:	10993 SW 186TH ST
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33157-6812
Country	:	US
Telephone Number	:	305-253-6634
Fax Number	:	305-253-6635

Authorized Official
Title or Position	:	CEO
Name	:	BRIAN BRITO
Credential	:
Telephone Number	:	305-455-1250

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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