Los Palacios Medical Supplies and Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LOS PALACIOS MEDICAL SUPPLIES AND PHARMACY

Doing business as

Los Palacios Medical Supplies and Pharmacy

Practice address

4213 E 4TH Ave
Hialeah, FL 33013-2305

Phone

(305) 688-0644

Fax

(305) 688-0662

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Eloina Carballo

Title

Owner

Phone

(305) 688-0644

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 4

• LOS PALACIOS MEDICAL SUPPLIES AND PHARMACY Doing business as
• LOS PALACIOS MEDICAL SUPPLIES INC Former legal business name
• LOS PALACIOS MEDICAL SUPPLIES, INC Former legal business name
• PRIME CARE SALUD NOVA PHARMACY, LLC Other name

Locations

Networks

• HealthSun Health Plans Network

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adolfo Manuel Suarez, PHARM. D.

  • Pharmacist
  • Miami, FL
  • NPI 1679944011
  NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1346274297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4213 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330132305",
            "telephone_number": "305-688-0644",
            "fax_number": "305-688-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4213 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330132305",
            "telephone_number": "305-688-0644",
            "fax_number": "305-688-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS PALACIOS MEDICAL SUPPLIES AND PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "CARBALLO",
        "authorized_official_first_name": "ELOINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-688-0644"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH23304",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117627900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOS PALACIOS MEDICAL SUPPLIES AND PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LOS PALACIOS MEDICAL SUPPLIES INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "LOS PALACIOS MEDICAL SUPPLIES, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "PRIME CARE SALUD NOVA PHARMACY, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• 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 Feb 2, 2026; 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.