Organization Active NPI

Larkin Community Hospital Palm Springs Campus, LLC

  • Specialty Pharmacy
  • Hialeah, FL
National Provider Identifier
1750187258
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS, LLC
Practice address
1475 W 49TH St
Hialeah, FL 33012-3222
Phone
(305) 824-4771
Fax
(305) 824-4758
NPI assigned
Feb 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Dr. Gijo Mathew, PHARM.D, MBA, BCPS
Title
Director of Pharmacy
Phone
(305) 558-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

1475 W 49TH St
Hialeah, FL 33012-3222

Mailing address

1475 W 49TH St
Hialeah, FL 33012-3222
Phone (305) 824-4771

National Provider Directory

National Provider Directory
Tax ID family
Larkin Community Hospital Palm Springs Campus LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1750187258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 W 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123222",
            "telephone_number": "305-824-4771",
            "fax_number": "305-824-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 W 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123222",
            "telephone_number": "305-824-4771",
            "fax_number": "305-824-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "GIJO",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "305-558-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D, MBA, BCPS"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 24, 2025; 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.