NPIMap

Organization Active NPI

Pines Pharmacy Inc

Doing business as Pines Pharmacy

  • Long Term Care Pharmacy
  • Hialeah, FL
National Provider Identifier
1356626204
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PH25280 Issued in FL
Legal business name
PINES PHARMACY INC
Doing business as
Pines Pharmacy
Practice address
881 E 2ND Ave
Hialeah, FL 33010-4205
Phone
(305) 889-0377
Fax
(305) 882-1162
NPI assigned
Oct 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Francisco Boza
Title
President
Phone
(305) 889-0377

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X PH25280 FL Primary

Addresses

Primary practice location

881 E 2ND Ave
Hialeah, FL 33010-4205

Mailing address

881 E 2ND Ave
Hialeah, FL 33010-4205
Phone (305) 889-0377

Other identifiers 1

IdentifierTypeStateIssuer
5707849OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Pines Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pines Pharmacy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1356626204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 E 2ND AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104205",
            "telephone_number": "305-889-0377",
            "fax_number": "305-882-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 E 2ND AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104205",
            "telephone_number": "305-889-0377",
            "fax_number": "305-882-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINES PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "BOZA",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-889-0377"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH25280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5707849",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pines Pharmacy",
            "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 Oct 13, 2011; 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.