Individual provider Active NPI

Eduardo Beguiristain, R.PH.

  • Pharmacist
  • Hialeah, FL
National Provider Identifier
1639283856
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS28459 Issued in FL
Practice address
1104 W 29TH St
Hialeah, FL 33012-5023
Phone
(305) 887-0284
Fax
(305) 887-0230
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH8741 FL
Pharmacist 183500000X PS28459 FL Primary

Addresses

Primary practice location

1104 W 29TH St
Hialeah, FL 33012-5023

Mailing address

1104 W 29TH St
Hialeah, FL 33012-5023
Phone (305) 887-0284

Other identifiers 1

IdentifierTypeStateIssuer
031031000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS28459FLMDPharmacist
PH8741FLMDPharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Belen & Belen Pharmacies, Inc. Pharmacist CurrentSince Feb 21, 2021 Accepting new patients

Locations

1104 W 29th St
Hialeah, FL 33012
Phone (305) 887-0284

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1639283856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 W 29TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125023",
            "telephone_number": "305-887-0284",
            "fax_number": "305-887-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 W 29TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125023",
            "telephone_number": "305-887-0284",
            "fax_number": "305-887-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEGUIRISTAIN",
        "first_name": "EDUARDO",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2021-02-18",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH8741",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS28459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031031000",
            "state": "FL"
        }
    ],
    "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 Feb 18, 2021; 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.