MGC Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MGC PHARMACY LLC

Practice address

1516 E 4TH Ave
Hialeah, FL 33010-3159

Phone

(305) 586-6443

Fax

(305) 884-7454

NPI assigned

Jul 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Luis Alfonso-Serrano, PHARMD MSC

Title

Pharmacy Owner/ Manager on Record

Phone

(305) 586-6443

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1700076262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103159",
            "telephone_number": "305-586-6443",
            "fax_number": "305-884-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103159",
            "telephone_number": "305-586-6443",
            "fax_number": "305-884-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "ALFONSO-SERRANO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PHARMACY OWNER/ MANAGER ON RECORD",
        "authorized_official_telephone_number": "305-586-6443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD MSC"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "PH22923",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MG Pharmacy & Discount Inc
• MG Pharmacy and Discount Inc.
• MG Rehabilitation Medical Center Corp.
• MG Universal Pharmacy Inc
• MGC Pharmacy LLC
• MGC Pharmacy LLC
• MGM Medical Services Inc
• MH Kids Therapy, Inc.
• MHB Consultants
• Mi Amigo Pediatra, PA

• Community/Retail Pharmacy in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.