Active NPI
Ez RX Hallandale LLC
Doing business as EZ RX Pharmacy & Compounding
- Pharmacy
- Hialeah, FL
National Provider Identifier
1619424512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PH30285
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2163865 | Other | PK |
Other names 1
- EZ RX Pharmacy & Compounding
National Provider Directory
National Provider DirectoryLocations
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.