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

Prominent Medical Inc

Organization Pharmacy · NPI 1487962700

Prominent Medical Inc is a Pharmacy in Miami, Florida. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17452 SW 104th Ave
Miami, FL 33157-4200
Phone: (786) 573-1712
Fax: (305) 969-3115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Pharmacy Taxonomy 333600000X

Record details

NPI number1487962700
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Harris — Owner · (786) 573-1712
Other names Prominent Medical Inc.
NPI enumeratedSeptember 21, 2010
Last updated in NPPESNovember 23, 2010
Mailing address17452 Sw 104th Ave, Miami, FL 33157-4200

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