OrganizationActive
Bonanza State Pharmacy and Discount Corp
NPI 1649438623 · Community/Retail Pharmacy · Miami, FL
Bonanza State Pharmacy and Discount Corp is a Community/Retail Pharmacy organization in Miami, FL (NPI 1649438623).
Provider details
- NPI number
- 1649438623
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Johnny Raymond, President(305) 378-6116
- License
- PH23397 (FL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
19752 Sw 177th Ave
Miami, FL 33187-2600
Phone: (305) 378-6116
Fax: (305) 378-4435
Street-level locationGet directions
Mailing address
19752 Sw 177th Ave
Miami, FL 33187-2600
Other names (DBA / former)
- Doing business as
- Redland Pharmacy Discount
Registry dates
- Enumerated
- 2008-05-27
- Last updated
- 2009-03-20
Frequently asked questions
- What is Bonanza State Pharmacy and Discount Corp's NPI number?
- Bonanza State Pharmacy and Discount Corp's National Provider Identifier (NPI) is 1649438623, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bonanza State Pharmacy and Discount Corp?
- Bonanza State Pharmacy and Discount Corp is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Bonanza State Pharmacy and Discount Corp located?
- Bonanza State Pharmacy and Discount Corp's practice location on file with NPPES is 19752 Sw 177th Ave, Miami, FL 33187-2600.
- What is Bonanza State Pharmacy and Discount Corp's phone number?
- The practice phone number listed in the NPPES registry for Bonanza State Pharmacy and Discount Corp is (305) 378-6116.
- Who is the authorized official for Bonanza State Pharmacy and Discount Corp?
- The authorized official listed on Bonanza State Pharmacy and Discount Corp's NPPES record is Johnny Raymond, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bonanza State Pharmacy and Discount Corp's NPI active?
- Yes — Bonanza State Pharmacy and Discount Corp's NPI (1649438623) is active in the NPPES registry as of the last update on 2009-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.