Palm Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH24542 Issued in FL

Legal business name

PALM PHARMACY

Practice address

486 Palm Ave
Hialeah, FL 33010-4718

Phone

(305) 392-0051

Fax

(305) 392-0052

NPI assigned

Apr 24, 2010

Organization subpart

No

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

Authorized official

Name

Jorge Calera

Title

President/Owner

Phone

(786) 262-3007

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Palm Pharmacy Doing business as

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

{
    "created_epoch": "1272067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1174840581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 PALM AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104718",
            "telephone_number": "305-392-0051",
            "fax_number": "305-392-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 PALM AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104718",
            "telephone_number": "305-392-0051",
            "fax_number": "305-392-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-24",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "CALERA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "786-262-3007"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5700035",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Palm Lakes Pharmacy, Inc.
• Palm Medical Center Hialeah, LLC
• Palm Medical Institute
• Palm Medical West, LLC
• Palm Medical, LLC
• Palm Pharmacy & Discount Store Inc
• Palm Plaza Medical Center, LLC
• Palm Primary Care, LLC
• Palm Rehab Center
• Palm Rehabilitation, Inc

• All providers in Hialeah, FL
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.

Verify at the official NPI Registry.