Pharmacy at 100 Nw 170th St, LLC
NPI 1215789946ActiveOrganization· Pharmacy, Compounding Pharmacy· Miami Lakes, FL
Pharmacy, Compounding Pharmacy in Miami Lakes, Florida, registered in NPPES in April 2024. The authorized official on file is Richard Ray, Owner.
Overview
| NPI | 1215789946 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 4, 2024 |
| Last updated in NPPES | Apr 4, 2024 |
| Certified by provider | Apr 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|