NPIMap

Organization Active NPI

Goodyear Discount Pharmacy

  • Community/Retail Pharmacy
  • Hialeah, FL
National Provider Identifier
1730357757
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH23101 Issued in FL
Legal business name
GOODYEAR DISCOUNT PHARMACY
Practice address
272 W 21St St
Hialeah, FL 33010-2517
Phone
(305) 884-0868
Fax
(305) 884-0869
NPI assigned
Feb 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Jose Hernandez
Title
President
Phone
(305) 884-0868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH23101 FL Primary

Addresses

Primary practice location

272 W 21St St
Hialeah, FL 33010-2517

Mailing address

272 W 21St St
Hialeah, FL 33010-2517

Other identifiers 1

IdentifierTypeStateIssuer
1032527OtherOTHER ID NUMBER

Other names 1

  • GOODYEAR DISCOUNT PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Goodyear Discount Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1730357757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 W 21ST ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330102517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 W 21ST ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330102517",
            "telephone_number": "305-884-0868",
            "fax_number": "305-884-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODYEAR DISCOUNT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-884-0868"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1032527",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOODYEAR DISCOUNT PHARMACY",
            "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 Feb 12, 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.