Hialeah Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH20944 Issued in FL

Legal business name

HIALEAH PHARMACY INC.

Practice address

791 W 29TH St
Hialeah, FL 33012-5605

Phone

(305) 882-7074

Fax

(305) 882-7094

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Miss Barbara Rodriguez

Title

Owner/President

Phone

(305) 882-7074

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1518067560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 W 29TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125605",
            "telephone_number": "305-882-7074",
            "fax_number": "305-882-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 W 29TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125605",
            "telephone_number": "305-882-7074",
            "fax_number": "305-882-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIALEAH PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "305-882-7074",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH20944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0269786001",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026978600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hialeah Medical Supplies Corp (Hialeah Medical Supplies)
• Hialeah Medical, Inc.
• Hialeah Medico Care, LLC
• Hialeah Mire Office Corp
• Hialeah Pathology Services, PA
• Hialeah Physician Care LLC
• Hialeah Senior Club Inc
• Hialeah SNF LLC (Palmetto Rehabilitation and Health Center)
• Hialeah SNF LLC
• Hialeah Square Dental Associates, PA

• 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 Nov 8, 2011; 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.