Active NPI
Optimun RX Pharmacy LLC.
- Community/Retail Pharmacy
- Hialeah, FL
National Provider Identifier
1376942417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2147201 | Other | PK |
Other names 1
- Optimun Rx Pharmacy LLC.
National Provider Directory
National Provider DirectoryNPI 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.