Charlies Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CHARLIES DRUG STORE INC

Practice address

2350 W 84TH St
Bay 15
Hialeah, FL 33016-5575

Phone

(786) 534-3997

Fax

(786) 534-3998

NPI assigned

Jul 26, 2014

Last updated

Jul 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlos Fonseca

Title

President

Phone

(786) 534-3997

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1406332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406332800000",
    "number": "1376951061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 W 84TH ST",
            "address_2": "BAY 15",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165575",
            "telephone_number": "786-534-3997",
            "fax_number": "786-534-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 W 84TH ST",
            "address_2": "BAY 15",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165575",
            "telephone_number": "786-534-3997",
            "fax_number": "786-534-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLIES DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-26",
        "last_updated": "2014-07-26",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-534-3997"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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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 Jul 26, 2014; 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.