Active NPI
Elsa Pharmacy Inc
- Community/Retail Pharmacy
- Hialeah, FL
National Provider Identifier
1639243074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH416
- Legal business name
- ELSA PHARMACY INC
- Doing business as
- Elsa Pharmacy Inc
- Practice address
- 1802 E 4TH Ave
Hialeah, FL 33010-3115 - Phone
- (305) 691-1968
- Fax
- (305) 836-2772
- NPI assigned
- Nov 18, 2006
- Last updated
- Jul 16, 2025
- 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
- Julio J Martin
- Title
- President
- Phone
- (305) 691-1969
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | PH416 | FL | Primary |
| Long Term Care Pharmacy | 3336L0003X | NU |
Addresses
Primary practice location
1802 E 4TH Ave
Hialeah, FL 33010-3115
Mailing address
1802 E 4TH Ave
Hialeah, FL 33010-3115
Phone (305) 691-1968
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2127909 | Other | PK | |
| 104286600 | Medicaid | FL |
Other names 1
- Elsa Pharmacy Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171206003560 | FL | DME Supplier - Pharmacy | 2466719034 | Practice locations: Hialeah, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Elsa Pharmacy Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
1802 E 4th Ave
Hialeah, FL 33010
Phone (305) 691-1968
1980 E 4th Ave
Hialeah, FL 33010
Phone (305) 691-1968
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
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- Miami, FL
- NPI 1508927724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752624000000",
"number": "1639243074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 E 4TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330103115",
"telephone_number": "305-691-1968",
"fax_number": "305-836-2772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 E 4TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330103115",
"telephone_number": "305-691-1968",
"fax_number": "305-836-2772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELSA PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-18",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "JULIO",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-691-1969"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH416",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2127909",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104286600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Elsa Pharmacy Inc",
"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 Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.