Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pharmacy at 100 NW 170th St, LLC

Organization Community/Retail Pharmacy · NPI 1215789946

Pharmacy at 100 NW 170th St, LLC is a Community/Retail Pharmacy in Miami Lakes, Florida. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

15485 Eagle Nest Ln Ste 230
Miami Lakes, FL 33014-2222
Phone: (917) 440-1529
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Compounding Pharmacy (primary) Taxonomy 3336C0004X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1215789946
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Ray — Owner · (917) 440-1529
Other names Dpr Pharmacy
NPI enumeratedApril 4, 2024
Last updated in NPPESApril 4, 2024
Certification dateApril 4, 2024
Mailing address15485 Eagle Nest Ln Ste 230, Miami Lakes, FL 33014-2222

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