Organization Active NPI

Optimun RX Pharmacy LLC.

  • Community/Retail Pharmacy
  • Hialeah, FL
National Provider Identifier
1376942417
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
OPTIMUN RX PHARMACY LLC.
Practice address
6900 West 32 Ave Ste #16
Hialeah, FL 33018
Phone
(305) 557-4995
Fax
(305) 557-4074
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Authorized official

Name
Mrs. Misleidys Gonzalez
Title
Owner / President
Phone
(786) 873-0833

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH28374 FL
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

6900 West 32 Ave Ste #16
Hialeah, FL 33018

Mailing address

6900 West 32 Ave Ste #16
Hialeah, FL 33018
Phone (305) 557-4995

Other identifiers 1

IdentifierTypeStateIssuer
2147201OtherPK

Other names 1

  • Optimun Rx Pharmacy LLC. 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": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1376942417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 WEST 32 AVE STE #16",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33018",
            "telephone_number": "305-557-4995",
            "fax_number": "305-557-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 WEST 32 AVE STE #16",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33018",
            "telephone_number": "305-557-4995",
            "fax_number": "305-557-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUN RX PHARMACY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MISLEIDYS",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "786-873-0833",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH28374",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147201",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimun Rx Pharmacy LLC.",
            "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 Jan 7, 2015; 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.