Organization Active NPI

Hephaestus Pharmaceuticals LLC

  • Community/Retail Pharmacy
  • Doral, FL
National Provider Identifier
1730933607
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HEPHAESTUS PHARMACEUTICALS LLC
Practice address
10913 NW 30TH St Ste 102
Doral, FL 33172-5029
Phone
(888) 648-1134
Fax
(786) 373-1531
NPI assigned
Apr 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Ngon-Vincent Van, PHARM.D.NPI 1649921412
Title
Pharmacist in Charge
Phone
(888) 648-1134

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

10913 NW 30TH St Ste 102
Doral, FL 33172-5029

Mailing address

10913 NW 30TH St Ste 102
Doral, FL 33172-5029
Phone (888) 648-1134

National Provider Directory

National Provider Directory

Locations

10913 NW 30th St
Ste 102
Doral, FL 33172
Phone (888) 648-1134

Practitioners & affiliated clinicians

Practitioners 2

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": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1730933607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10913 NW 30TH ST STE 102",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331725029",
            "telephone_number": "888-648-1134",
            "fax_number": "786-373-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10913 NW 30TH ST STE 102",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331725029",
            "telephone_number": "888-648-1134",
            "fax_number": "786-373-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEPHAESTUS PHARMACEUTICALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "VAN",
        "authorized_official_first_name": "NGON-VINCENT",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "888-648-1134",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.