Active NPI
Prince Paul, PHARMD
- Pharmacist
- Hialeah, FL
National Provider Identifier
1487267530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS60374
- Practice address
- 4895 Palm Ave
Hialeah, FL 33012-4006 - Phone
- (305) 231-7454
- NPI assigned
- Aug 28, 2020
- Last updated
- Aug 28, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS60374 | FL | Primary |
Addresses
Primary practice location
4895 Palm Ave
Hialeah, FL 33012-4006
Mailing address
4895 Palm Ave
Hialeah, FL 33012-4006
Phone (305) 231-7454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS60374 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598572800000",
"number": "1487267530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4895 PALM AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330124006",
"telephone_number": "305-231-7454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4895 PALM AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330124006",
"telephone_number": "305-231-7454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "PRINCE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-28",
"last_updated": "2020-08-28",
"certification_date": "2020-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS60374",
"primary": true
}
],
"identifiers": [],
"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 Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.