Provider Demographics
NPI:1952902363
Name:1FAMILY1HEALTH PHARMACY INC
Entity Type:Organization
Organization Name:1FAMILY1HEALTH PHARMACY INC
Other - Org Name:1FAMILY 1HEALTH PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:R
Authorized Official - Last Name:PRATS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:877-203-7099
Mailing Address - Street 1:2803 SW 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-3701
Mailing Address - Country:US
Mailing Address - Phone:877-203-7099
Mailing Address - Fax:786-615-4891
Practice Address - Street 1:2803 SW 27TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-3701
Practice Address - Country:US
Practice Address - Phone:877-203-7099
Practice Address - Fax:786-615-4891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-03
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1669732038Medicaid