Golden Palm Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH26048 Issued in FL

Legal business name

GOLDEN PALM PHARMACY CORP

Doing business as

Golden Palm Pharmacy Corp

Practice address

6900 W 32ND Ave
Ste 16
Hialeah, FL 33018-5227

Phone

(305) 827-2230

Fax

(305) 827-2238

NPI assigned

Feb 22, 2012

Organization subpart

No

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

Authorized official

Name

Sandra Martin

Title

Owner

Phone

(305) 827-2230

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GOLDEN PALM PHARMACY CORP Doing business as

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1770856783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 W 32ND AVE",
            "address_2": "STE 16",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330185227",
            "telephone_number": "305-827-2230",
            "fax_number": "305-827-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 W 32ND AVE",
            "address_2": "STE 16",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330185227",
            "telephone_number": "305-827-2230",
            "fax_number": "305-827-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN PALM PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-827-2230"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5709312",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLDEN PALM PHARMACY CORP",
            "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 Mar 3, 2014; 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.