Organization Active NPI

Madahima Pharmacy Inc

  • Community/Retail Pharmacy
  • Hialeah, FL
National Provider Identifier
1053423988
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH10589 Issued in FL
Legal business name
MADAHIMA PHARMACY INC
Practice address
8129 W 8TH Ave
Hialeah, FL 33014-3529
Phone
(305) 556-6060
Fax
(305) 556-3999
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Authorized official

Name
Danny Perez
Title
Manager
Phone
(305) 556-6060

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH10589 FL Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

8129 W 8TH Ave
Hialeah, FL 33014-3529

Mailing address

8129 W 8TH Ave
Hialeah, FL 33014-3529
Phone (305) 556-6060

Other identifiers 2

IdentifierTypeStateIssuer
100422100MedicaidFL
2009309OtherPK

Other names 1

  • MADAHIMA PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

8129 W 8th Ave
Hialeah, FL 33014
Phone (305) 556-6060

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1053423988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8129 W 8TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143529",
            "telephone_number": "305-556-6060",
            "fax_number": "305-556-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8129 W 8TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143529",
            "telephone_number": "305-556-6060",
            "fax_number": "305-556-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADAHIMA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-556-6060"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH10589",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100422100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2009309",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MADAHIMA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 28, 2016; 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.