Hersen Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH0015272 Issued in FL

Legal business name

HERSEN INC

Doing business as

San Jose Pharmacy

Practice address

2666 SW 87TH Ave
Miami, FL 33165-2031

Phone

(305) 229-1300

Fax

(305) 229-1532

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Yailka Fraga

Title

Pres

Phone

(305) 266-1234

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SAN JOSE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1730298563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2666 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2666 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652031",
            "telephone_number": "305-229-1300",
            "fax_number": "305-229-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERSEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "FRAGA",
        "authorized_official_first_name": "YAILKA",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "305-266-1234"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH0015272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1064764",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN JOSE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paulette A Herrero, ARNP
• Robert Herrero, APRN
• Kailey Marie Herrholz
• Tyler Herrington, MD
• Theodore Herrmann, DMD
• Mindy S. Hersh, PH.D.
• Hershman and Hershman PA (Lloyd S Hershman MD)
• Hershman Medical Center, P.a.
• Kenneth David Hershman, M.D.
• Andrea L Hershorin, A.R.N.P.

• Community/Retail Pharmacy in Miami, FL
• Providers in Miami, 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 Feb 1, 2008; 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.