Prestiage Pharmacy and Medical Supplies Inc

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

PH24585 Issued in FL

Legal business name

PRESTIAGE PHARMACY AND MEDICAL SUPPLIES INC

Practice address

2150 W 76TH St
Suite 106
Hialeah, FL 33016-1882

Phone

(305) 558-3848

Fax

(305) 558-3849

NPI assigned

Oct 25, 2012

Last updated

Oct 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Idania EnriqueNPI 1902408388

Title

Pressident

Phone

(305) 558-3848

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Idania Enrique

  • Behavior Technician
  • Miami, FL
  • NPI 1902408388
  NPD Authorized official

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1053664268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 W 76TH ST",
            "address_2": "SUITE 106",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161882",
            "telephone_number": "305-558-3848",
            "fax_number": "305-558-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 W 76TH ST",
            "address_2": "SUITE 106",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161882",
            "telephone_number": "305-558-3848",
            "fax_number": "305-558-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIAGE PHARMACY AND MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "ENRIQUE",
        "authorized_official_first_name": "IDANIA",
        "authorized_official_title_or_position": "PRESSIDENT",
        "authorized_official_telephone_number": "305-558-3848",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "FL",
            "license": "PH24585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prestige Behavioral Health Center Corp
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• Prestige Partners Group Corp

• Specialty Pharmacy in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Specialty Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.