Organization Active NPI

Bonanza Pharmacy

  • Community/Retail Pharmacy
  • Hialeah, FL
National Provider Identifier
1770877102
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH25476 Issued in FL
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

Updated by the provider on Oct 25, 2011

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.