Organization Active NPI

Ez RX Hallandale LLC

Doing business as EZ RX Pharmacy & Compounding

  • Pharmacy
  • Hialeah, FL
National Provider Identifier
1619424512
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH30285 Issued in FL
Legal business name
EZ RX HALLANDALE LLC
Doing business as
EZ RX Pharmacy & Compounding
Practice address
1550 W 84TH St
#62
Hialeah, FL 33014-3379
Phone
(786) 703-5670
Fax
(786) 703-5657
NPI assigned
Sep 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Authorized official

Name
Mirtha Gonzalez
Title
Owner
Phone
(786) 703-5670

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH30285 FL Primary
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

1550 W 84TH St
#62
Hialeah, FL 33014-3379

Mailing address

1550 W 84TH St
#62
Hialeah, FL 33014-3379
Phone (786) 703-5670

Other identifiers 1

IdentifierTypeStateIssuer
2163865OtherPK

Other names 1

  • EZ RX Pharmacy & Compounding Doing business as

National Provider Directory

National Provider Directory

Locations

936 W Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 455-0004

1550 W 84th St
Ste 62
Hialeah, FL 33014
Phone (786) 703-5670

1 Cragwood Rd
Ste 101
South Plainfield, NJ 07080

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1619424512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 W 84TH ST",
            "address_2": "#62",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143379",
            "telephone_number": "786-703-5670",
            "fax_number": "786-703-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 W 84TH ST",
            "address_2": "#62",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143379",
            "telephone_number": "786-703-5670",
            "fax_number": "786-703-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ RX HALLANDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MIRTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-703-5670"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH30285",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2163865",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EZ RX Pharmacy & Compounding",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EZ RX Pharmacy & Compounding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 13, 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.