Perdomos Pharmacy & Discount Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH23924 Issued in FL

Legal business name

PERDOMOS PHARMACY & DISCOUNT INC

Doing business as

Perdomo's Pharmacy & Discount Inc

Practice address

4286A Palm Ave
Hialeah, FL 33012-4454

Phone

(305) 818-1971

Fax

(305) 818-1902

NPI assigned

Dec 24, 2008

Organization subpart

No

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

Authorized official

Name

Jose Gonzalo Perdomo

Title

President

Phone

(305) 818-1971

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Perdomo's Pharmacy & Discount Inc Doing business as

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

{
    "created_epoch": "1230076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1538305479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4286A PALM AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124454",
            "telephone_number": "305-818-1971",
            "fax_number": "305-818-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4286A PALM AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124454",
            "telephone_number": "305-818-1971",
            "fax_number": "305-818-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERDOMOS PHARMACY & DISCOUNT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-24",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "GONZALO PERDOMO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-818-1971"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1043380",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perdomo's Pharmacy & Discount Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniela Perdomo Gonzalez, RBT
• Mailin Perdomo Rodriguez
• Yaisbel Perdomo Rodriguez
• Darian Perdomo Valdes
• Diana M Perdomo
• Armando German Perea, NP-C
• Elizabeth Marie Perea, MD
• Anabel Pereda
• Dayneri Pereda, LMHC
• Leonardo Pereira Alexandre

• 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 Jun 29, 2009; 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.