NPIMap

Organization Active NPI

MJ Pharmacy & Discount LLC

  • Community/Retail Pharmacy
  • Hialeah, FL
National Provider Identifier
1568083830
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MJ PHARMACY & DISCOUNT LLC
Practice address
1545 West 62ND Street
Suite 62
Hialeah, FL 33014
Phone
(786) 259-3076
Fax
(786) 364-1602
NPI assigned
Apr 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Authorized official

Name
Mrs. Mirtha Gonzalez, REGISTERED PHARMACY
Title
Member/Owner
Phone
(786) 259-3076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1545 West 62ND Street
Suite 62
Hialeah, FL 33014

Mailing address

1545 West 62ND Street
Suite 62
Hialeah, FL 33014
Phone (786) 259-3076

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CSV Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1568083830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 WEST 62ND STREET",
            "address_2": "SUITE 62",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33014",
            "telephone_number": "786-259-3076",
            "fax_number": "786-364-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 WEST 62ND STREET",
            "address_2": "SUITE 62",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33014",
            "telephone_number": "786-259-3076",
            "fax_number": "786-364-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ PHARMACY & DISCOUNT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MIRTHA",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "786-259-3076",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED PHARMACY"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CSV",
            "affiliation": "N",
            "endpointDescription": "CSV",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1545 WEST 62ND STREET",
            "address_2": "SUITE 62",
            "city": "HIALEAH",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 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.

Verify at the official NPI Registry.