St Jude Pharmacy & Discount Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH25424 Issued in FL

Legal business name

ST JUDE PHARMACY & DISCOUNT INC

Practice address

4822 NW 167TH St
Miami Lakes, FL 33014-6426

Phone

(305) 621-3448

Fax

(305) 621-3464

NPI assigned

May 3, 2011

Organization subpart

No

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

Authorized official

Name

Juan Hernandez

Title

President

Phone

(305) 621-3448

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• ST JUDE PHARMACY & DISCOUNT, INC Doing business as

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1205128774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4822 NW 167TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146426",
            "telephone_number": "305-621-3448",
            "fax_number": "305-621-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 NW 167TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146426",
            "telephone_number": "305-621-3448",
            "fax_number": "305-621-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JUDE PHARMACY & DISCOUNT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-621-3448"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25424",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133928",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST JUDE PHARMACY & DISCOUNT, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Miami Lakes, FL
• Providers in Miami Lakes, 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 Apr 28, 2017; 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.