Organization Active NPI

Max Pharmacy Corp

  • Community/Retail Pharmacy
  • Hialeah, FL
National Provider Identifier
1568870244
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MAX PHARMACY CORP
Practice address
2017 W 62ND St
Hialeah, FL 33016-2678
Phone
(786) 834-3800
Fax
(786) 452-1532
NPI assigned
Jul 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Idilsis Manresa
Title
President
Phone
(786) 834-3800

Specialties & licenses 1

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

Addresses

Primary practice location

2017 W 62ND St
Hialeah, FL 33016-2678

Mailing address

2017 W 62ND St
Hialeah, FL 33016-2678
Phone (786) 834-3800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1406332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1568870244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 W 62ND ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162678",
            "telephone_number": "786-834-3800",
            "fax_number": "786-452-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 W 62ND ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162678",
            "telephone_number": "786-834-3800",
            "fax_number": "786-452-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-26",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "MANRESA",
        "authorized_official_first_name": "IDILSIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-834-3800"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": null,
            "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 Jan 21, 2015; 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.