Prestige Pharmacy and Medical Supplies

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH24362 Issued in FL

Legal business name

PRESTIGE PHARMACY AND MEDICAL SUPPLIES

Practice address

2150 W 76TH St Ste 106
Hialeah, FL 33016-1839

Phone

(305) 558-3848

Fax

(305) 558-3849

NPI assigned

Dec 7, 2009

Last updated

Aug 18, 2014By 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

Mr. Joseph De Gregorio

Title

President

Phone

(305) 558-3848

Specialties & licenses 1

Addresses

Other identifiers 1

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

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1205164019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 W 76TH ST STE 106",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161839",
            "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 STE 106",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161839",
            "telephone_number": "305-558-3848",
            "fax_number": "305-558-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE PHARMACY AND MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "DE GREGORIO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-558-3848",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF PHARMACY",
            "identifier": "PH24362",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prestige ABA Services LLC
• Prestige Behavioral Health Center Corp
• Prestige Health Solutions Corp
• Prestige Home Health Care Corp.
• Prestige Partners Group Corp
• Prestigious Mental Wellness
• Prestigious Therapy & Wellness LLC
• Pride Group Center, Inc.
• Yissel A Prieto Cabrera
• Daniela Prieto Lara

• 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 Aug 18, 2014; 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.