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Fontainebleau Discount Pharmacy, INC.

Pharmacist in Miami, FL. Organization (NPI-2).

NPI number1124128939
StatusActive
Last updated in NPPESOct 3, 2008

Details

NPI
1124128939
Entity type
Organization (NPI-2)
Legal business name
Fontainebleau Discount Pharmacy, INC.
Organization subpart
No
Enumeration date
Sep 22, 2006
Last updated
Oct 3, 2008

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPH15959FLYes

Other names

  • Nu-Mart Discount Pharmacy (Doing Business As)

Practice location

10690 Fontainebleau Blvd
Miami, FL 33172-3117

Phone 305-226-6357

Mailing address

10690 Fontainebleau Blvd
Miami, FL 33172-3117

Phone 305-226-6357

Authorized official

Eva Hernandez
Owner
3052266357

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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