Provider Demographics
NPI:1932447661
Name:A-1 PHARMACY INC
Entity Type:Organization
Organization Name:A-1 PHARMACY INC
Other - Org Name:A-1 PHARMACY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KELLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:IVESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-274-5395
Mailing Address - Street 1:265 NE 24TH ST STE 106
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-5040
Mailing Address - Country:US
Mailing Address - Phone:786-275-5395
Mailing Address - Fax:305-503-6807
Practice Address - Street 1:265 NE 24TH ST STE 106
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-5040
Practice Address - Country:US
Practice Address - Phone:786-275-5395
Practice Address - Fax:305-503-6807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-31
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH25698333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5713258OtherNCPDP PROVIDER IDENTIFICATION NUMBER