Organization Active NPI

Pharmacy Care Center LLC

  • Long Term Care Pharmacy
  • Hialeah, FL
National Provider Identifier
1427560564
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PHARMACY CARE CENTER LLC
Practice address
2081 W 76TH St Ste 102
Hialeah, FL 33016-1834
Phone
(305) 821-4337
Fax
(305) 821-4338
NPI assigned
Oct 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Authorized official

Name
Fady S Girgis, PH-D
Title
President
Phone
(305) 821-4337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2081 W 76TH St Ste 102
Hialeah, FL 33016-1834

Mailing address

2081 W 76TH St
Hialeah, FL 33016-1834

Other identifiers 1

IdentifierTypeStateIssuer
017973501MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Pharmacy Care Center2 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.

Locations

2081 W 76th St
Hialeah, FL 33016
Phone (305) 720-6163

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1427560564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 W 76TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 W 76TH ST STE 102",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161834",
            "telephone_number": "305-821-4337",
            "fax_number": "305-821-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "GIRGIS",
        "authorized_official_first_name": "FADY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-821-4337",
        "authorized_official_credential": "PH-D"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017973501",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 30, 2017; 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.