Active NPI
Bonanza Pharmacy
- Community/Retail Pharmacy
- Hialeah, FL
National Provider Identifier
1770877102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH25476
- Legal business name
- BONANZA PHARMACY
- Practice address
- 2350 W 60TH St
Suit #5
Hialeah, FL 33016-4482 - Phone
- (305) 828-0348
- Fax
- (305) 828-0349
- NPI assigned
- Jun 2, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alejandro De Armas
- Title
- Owner
- Phone
- (305) 828-0348
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH25476 | FL | Primary |
Addresses
Primary practice location
2350 W 60TH St
Suit #5
Hialeah, FL 33016-4482
Mailing address
2350 W 60TH St
Suit # 5
Hialeah, FL 33016-4482
Phone (305) 828-0348
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319500800000",
"number": "1770877102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 W 60TH ST",
"address_2": "SUIT # 5",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330164482",
"telephone_number": "305-828-0348",
"fax_number": "305-828-0349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 W 60TH ST",
"address_2": "SUIT #5",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330164482",
"telephone_number": "305-828-0348",
"fax_number": "305-828-0349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BONANZA PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-02",
"last_updated": "2011-10-25",
"status": "A",
"authorized_official_last_name": "DE ARMAS",
"authorized_official_first_name": "ALEJANDRO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-828-0348"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH25476",
"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 Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.