NPI Portal NPI Lookup & Verification

Promod Rx, LLC

Promod Rx, LLC is a healthcare organization registered as Community/Retail Pharmacy in Miramar, FL, holding Type 2 (organization) NPI 1558905661 since 2019. The authorized official on file is Kim Ton, Pharmacist in Charge.

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NPI 1558905661
Entity type Organization (Type 2)
Legal business name Promod Rx, LLC
Parent organization Promod Rx, LLC
Practice address 2650 SW 145TH AVE, Miramar, FL, 33027
Phone 8553058500
Fax 8332207665
Enumeration date 2019-10-31
Last updated in NPPES 2019-10-31

Authorized official

Name Kim Ton
Title Pharmacist in Charge
Phone 0066205868

Taxonomy & classification

Taxonomy code Specialty Primary License State
3336C0003X Community/Retail Pharmacy Primary
Copy-ready billing details
Provider: Promod Rx, LLC
NPI: 1558905661
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 2650 SW 145TH AVE, Miramar, FL, 33027

Providers at this address

NPI Name Type Specialty Location
1396394805 Promod Rx, LLC Organization Mail Order Pharmacy Miramar, FL
1346866712 Tulsi Patel Individual Pharmacist Miramar, FL
1265102438 Paul Zickerman Individual Pharmacist Miramar, FL

Verify this record

Cross-check NPI 1558905661 against the authoritative CMS record: view Promod Rx, LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What type of organization is Promod Rx, LLC?
Promod Rx, LLC is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2019-10-31.