Organization Active NPI

Sunrise Pharmacy & Discount

  • Pharmacy
  • Hialeah, FL
National Provider Identifier
1023015831
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PS19904 Issued in FL
Legal business name
SUNRISE PHARMACY & DISCOUNT
Practice address
4254 W 12TH Ave
Hialeah, FL 33012-4108
Phone
(786) 235-0555
Fax
(786) 235-0556
NPI assigned
Jul 7, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Marcela Moreno
Title
President
Phone
(786) 235-0555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PS19904 FL Primary

Addresses

Primary practice location

4254 W 12TH Ave
Hialeah, FL 33012-4108

Mailing address

4254 W 12TH Ave
Hialeah, FL 33012-4108
Phone (786) 235-0555

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023015831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4254 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124108",
            "telephone_number": "786-235-0555",
            "fax_number": "786-235-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4254 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124108",
            "telephone_number": "786-235-0555",
            "fax_number": "786-235-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE PHARMACY & DISCOUNT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "MARCELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-235-0555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PS19904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.