St Jude Pharmacy & Discount 2 Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ST JUDE PHARMACY & DISCOUNT 2 INC

Practice address

3474 W 60 St
Hialeah, FL 33016-4409

Phone

(786) 953-6339

Fax

(786) 953-6313

NPI assigned

Aug 31, 2023

Organization subpart

No

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

Authorized official

Name

Yureibys Perez

Title

Owner

Phone

(786) 953-6339

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1164208609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3474 W 60 ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330164409",
            "telephone_number": "786-953-6339",
            "fax_number": "786-953-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3474 W 60 ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330164409",
            "telephone_number": "786-953-6339",
            "fax_number": "786-953-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JUDE PHARMACY & DISCOUNT 2 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2024-10-10",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "YUREIBYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-953-6339"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Benedict Health Care Corp
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• St Jude Best Home Care, Inc
• St Jude Professional Service Inc
• St Theresa Community Mental Health Center Inc
• St. Joseph Healthcare System Corp
• Marisa Irene Stack, RD/LDN
• Star Angels Behavior Solutions, LLC

• Community/Retail Pharmacy in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.