Organization Active NPI

Drug Center Inc

Doing business as Drug Center Pharmacy Inc

  • Community/Retail Pharmacy
  • Hialeah, FL
National Provider Identifier
1669538930
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH6419 Issued in FL
Legal business name
DRUG CENTER INC
Doing business as
Drug Center Pharmacy Inc
Practice address
1625 Palm Ave
Hialeah, FL 33010-3000
Phone
(305) 887-7900
Fax
(305) 887-4820
NPI assigned
Dec 29, 2006
Last updated
Aug 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Rene Queuedo
Title
VP Phcy MGR
Phone
(305) 887-7900

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH6419 FL Primary

Addresses

Primary practice location

1625 Palm Ave
Hialeah, FL 33010-3000

Mailing address

1625 Palm Ave
Hialeah, FL 33010-3000
Phone (305) 887-7900

Other identifiers 3

IdentifierTypeStateIssuer
1027514OtherNCPDP PROVIDER IDENTIFICATION NUMBER
103599101MedicaidFL
103599100MedicaidFL

Other names 1

  • DRUG CENTER PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Locations

1625 Palm Ave
Hialeah, FL 33010
Phone (305) 887-7900

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1669538930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 PALM AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103000",
            "telephone_number": "305-887-7900",
            "fax_number": "305-887-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 PALM AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103000",
            "telephone_number": "305-887-7900",
            "fax_number": "305-887-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "QUEUEDO",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "VP PHCY MGR",
        "authorized_official_telephone_number": "305-887-7900"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH6419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1027514",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103599101",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103599100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRUG CENTER 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 Aug 26, 2009; 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.