Active NPI
La Ideal Pharmacy & Discount
- Pharmacy
- Hialeah, FL
National Provider Identifier
1144567884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PH26298
- Legal business name
- LA IDEAL PHARMACY & DISCOUNT
- Practice address
- 4920 E 4 Ave
Hialeah, FL 33012 - Phone
- (305) 821-0070
- Fax
- (305) 821-0071
- NPI assigned
- Jan 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Luis Ivan Hernandez
- Title
- President
- Phone
- (305) 821-0070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PH26298 | FL | Primary |
Addresses
Primary practice location
4920 E 4 Ave
Hialeah, FL 33012
Mailing address
4920 E 4 Ave
Hialeah, FL 33012
Phone (305) 821-0070
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358208000000",
"number": "1144567884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4920 E 4 AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "33012",
"telephone_number": "305-821-0070",
"fax_number": "305-821-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4920 E 4 AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "33012",
"telephone_number": "305-821-0070",
"fax_number": "305-821-0071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA IDEAL PHARMACY & DISCOUNT",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-15",
"last_updated": "2013-01-15",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "IVAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-821-0070",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "FL",
"license": "PH26298",
"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 Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.