Organization Active NPI

Farmacia 22-24 Hialeah Inc.

Doing business as Farmacia 22-24 Hialeah

  • Community/Retail Pharmacy
  • Hialeah, FL
National Provider Identifier
1669566287
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH0013957 Issued in FL
Legal business name
FARMACIA 22-24 HIALEAH INC.
Doing business as
Farmacia 22-24 Hialeah
Practice address
2961 West 12 Av
Hialeah, FL 33012
Phone
(305) 888-2224
Fax
(305) 885-9918
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Francisco A Ortega, RPH
Title
Pharmacy Manager
Phone
(305) 888-2224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH0013957 FL Primary

Addresses

Primary practice location

2961 West 12 Av
Hialeah, FL 33012

Mailing address

2961 West 12 Av
Hialeah, FL 33012
Phone (305) 888-2224

Other identifiers 1

IdentifierTypeStateIssuer
025442800MedicaidFL

Other names 1

  • Farmacia 22-24 Hialeah Doing business as

National Provider Directory

National Provider Directory

Locations

2961 W 12th Ave
Hialeah, FL 33012
Phone (305) 888-2224

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1669566287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 WEST 12 AV",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-888-2224",
            "fax_number": "305-885-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 WEST 12 AV",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-888-2224",
            "fax_number": "305-885-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA 22-24 HIALEAH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "305-888-2224",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH0013957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025442800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmacia 22-24 Hialeah",
            "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 Oct 11, 2022; 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.