Northstar Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH22427 Issued in FL

Legal business name

NORTHSTAR PHARMACY LLC

Practice address

8090 W 23Rd Ave
Suite 4
Hialeah, FL 33016-5572

Phone

(305) 804-4761

Fax

(305) 804-4762

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Luis Gonzalez Jr.

Title

President

Phone

(305) 804-4762

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1760694962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8090 W 23RD AVE",
            "address_2": "SUITE 4",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165572",
            "telephone_number": "305-804-4761",
            "fax_number": "305-804-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8090 W 23RD AVE",
            "address_2": "SUITE 4",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165572",
            "telephone_number": "305-804-4761",
            "fax_number": "305-804-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-804-4762",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH22427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maribel Nova Perez, ARNP

• 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 Feb 2, 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.