NPIMap

Organization Active NPI

Medstar Inc

  • Community/Retail Pharmacy
  • Hialeah, FL
National Provider Identifier
1336318468
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH23144 Issued in FL
Legal business name
MEDSTAR INC
Doing business as
MEDSTAR INC
Practice address
2108 W 68TH St
Hialeah, FL 33016-1804
Phone
(305) 362-5848
Fax
(305) 362-5847
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Authorized official

Name
Hortensia Amador
Title
Owner
Phone
(305) 362-5848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH23144 FL Primary

Addresses

Primary practice location

2108 W 68TH St
Hialeah, FL 33016-1804

Mailing address

2108 W 68TH St
Hialeah, FL 33016-1804
Phone (305) 362-5848

Other identifiers 1

IdentifierTypeStateIssuer
1032591OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MEDSTAR INC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1336318468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161804",
            "telephone_number": "305-362-5848",
            "fax_number": "305-362-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161804",
            "telephone_number": "305-362-5848",
            "fax_number": "305-362-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "AMADOR",
        "authorized_official_first_name": "HORTENSIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-362-5848"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1032591",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDSTAR INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 1, 2009; 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.