Organization Active NPI

My Super Pharmacy

  • Community/Retail Pharmacy
  • Hialeah Gardens, FL
National Provider Identifier
1689440810
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MY SUPER PHARMACY
Practice address
10550 NW 77TH CT Ste 303
Hialeah Gardens, FL 33016-2071
Phone
(786) 485-4170
Fax
(786) 485-4845
NPI assigned
Nov 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Ruby FerrerNPI 1194478396
Title
Pres
Phone
(786) 546-5144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

10550 NW 77TH CT Ste 303
Hialeah Gardens, FL 33016-2071

Mailing address

10550 NW 77TH CT Ste 303
Hialeah Gardens, FL 33016-2071
Phone (786) 485-4170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240116002043 FL DME Supplier - Pharmacy 6709238751 Practice locations: Medley, FL

National Provider Directory

National Provider Directory

Locations

8601 NW South River Dr
Medley, FL 33166
Phone (786) 485-4170

10550 NW 77th Ct
Ste 303
Miami Lakes, FL 33016
Phone (305) 556-6559

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": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1689440810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 NW 77TH CT STE 303",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330162071",
            "telephone_number": "786-485-4170",
            "fax_number": "786-485-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 NW 77TH CT STE 303",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330162071",
            "telephone_number": "786-485-4170",
            "fax_number": "786-485-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SUPER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "FERRER",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "786-546-5144"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.