La Cubanisima Pharmacy Discount Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH24448 Issued in FL

Legal business name

LA CUBANISIMA PHARMACY DISCOUNT INC

Practice address

857 Palm Ave
Hialeah, FL 33010-4319

Phone

(786) 360-6589

Fax

(786) 360-6663

NPI assigned

Feb 16, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Omar Aguero Herrera

Title

President

Phone

(786) 360-6589

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1568784692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 PALM AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104319",
            "telephone_number": "786-360-6589",
            "fax_number": "786-360-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 PALM AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104319",
            "telephone_number": "786-360-6589",
            "fax_number": "786-360-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CUBANISIMA PHARMACY DISCOUNT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "AGUERO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-360-6589",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Feb 16, 2010; 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.