Visa Pharmacy & Discount Store Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

PH0008168 Issued in FL

Legal business name

VISA PHARMACY & DISCOUNT STORE INC

Practice address

10171 NW 129TH Ter
Hialeah Gardens, FL 33018-1656

Phone

(305) 761-4817

NPI assigned

Aug 18, 2007

Organization subpart

No

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

Authorized official

Name

Josefina E Delgado, RPH

Title

Pharmacy Manager

Phone

(305) 691-7817

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sedano's Pharmacy # 3 Former legal business name

Tax ID family

Sedano'S Pharmacy 32 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Visa Pharmacy & Discount Store Inc

  dba Sedanos Pharmacy #3

  • Community/Retail Pharmacy
  • Hialeah, FL
  • NPI 1205928413
  NPD tax ID

Practitioners 1

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

• Josefina Urquiza

  • Pharmacist
  • Hialeah, FL
  • NPI 1992300826
  NPD (past)

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

{
    "created_epoch": "1187395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187395200000",
    "number": "1407049943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144437",
            "telephone_number": "305-556-3008",
            "fax_number": "786-621-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10171 NW 129TH TER",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330181656",
            "telephone_number": "305-761-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISA PHARMACY & DISCOUNT STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-18",
        "last_updated": "2007-08-18",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "JOSEFINA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "305-691-7817",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "PH0008168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "PS25456",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sedano's Pharmacy # 3",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Beatriz Eugenia Villa, BA
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• Vip Integral Clinic Inc
• Vivir la Vida Adult Day Care
• VMK International LLC (Farmacia Gardens)
• Helmuth Frank Vollger, M.D.
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2814)
• Wal-Mart Stores East LP (WalMart Pharmacy 10-5615)

• Health Maintenance Organization in Hialeah Gardens, FL
• Providers in Hialeah Gardens, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2007; 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.