1492 Pharma Group Corp
NPI 1417968058ActiveOrganization· Pharmacy· South Miami, FL
Pharmacy in South Miami, Florida, registered in NPPES in August 2006. The authorized official on file is Sonia Elena Martinez, BSPHARM, President. Medicare paid $9,603 for services to 43 patients in 2024.
Overview
| NPI | 1417968058 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 10, 2006 |
| Last updated in NPPES | Dec 12, 2022 |
| Certified by provider | Dec 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | PH22048 | FL |
| Pharmacy, Compounding Pharmacy | 3336C0004X | — | — |
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) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 43 |
|---|---|
| Services billed | 123 across 8 procedure codes |
| Paid by Medicare | $9,603 |
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