Ideal Farmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH23660 Issued in FL

Legal business name

IDEAL FARMACY INC

Doing business as

Ideal Farmacy, Inc.

Practice address

3740 W 12TH Ave
Hialeah, FL 33012-4126

Phone

(305) 826-2990

Fax

(305) 824-0804

NPI assigned

Mar 31, 2009

Organization subpart

No

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

Authorized official

Name

Yovani Molina

Title

Owner/President

Phone

(305) 826-2990

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• IDEAL FARMACY, INC. Doing business as

Locations

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1750523171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124126",
            "telephone_number": "305-826-2990",
            "fax_number": "305-824-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124126",
            "telephone_number": "305-826-2990",
            "fax_number": "305-824-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL FARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "YOVANI",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "305-826-2990"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1048986",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IDEAL FARMACY, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Oct 5, 2009; 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.