OrganizationActive
Promod Rx, LLC
NPI 1558905661 · Community/Retail Pharmacy · Miramar, FL
Provider details
- NPI number
- 1558905661
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Promod Rx, LLC
- Organization subpart
- Yes
- Authorized official
- Kim Ton, Pharmacist in Charge(006) 620-5868
Specialties & taxonomies
Suppliers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2650 Sw 145th Ave
Miramar, FL 33027-6606
Phone: (855) 305-8500
Fax: (833) 220-7665
Street-level locationGet directions
Mailing address
2650 Sw 145th Ave
Miramar, FL 33027-6606
Other names (DBA / former)
- Doing business as
- Nutrition Direct
Registry dates
- Enumerated
- 2019-10-31
- Last updated
- 2019-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.