Organization Active NPI

Quality Pharmacy Discount Corp

  • Community/Retail Pharmacy
  • Hialeah, FL
National Provider Identifier
1780907667
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH24565 Issued in FL
Legal business name
QUALITY PHARMACY DISCOUNT CORP
Practice address
1133 W 29TH St
Hialeah, FL 33012-5063
Phone
(305) 200-3853
Fax
(786) 953-6131
NPI assigned
Mar 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Gustavo Fundora
Title
Pharmacy Tech / President
Phone
(305) 200-3853

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH24565 FL Primary

Addresses

Primary practice location

1133 W 29TH St
Hialeah, FL 33012-5063

Mailing address

1133 W 29TH St
Hialeah, FL 33012-5063
Phone (305) 200-3853

Other identifiers 1

IdentifierTypeStateIssuer
1057276OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Quality Pharmacy & Discount Corp Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Quality Pharmacy and Discount Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1780907667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 W 29TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125063",
            "telephone_number": "305-200-3853",
            "fax_number": "786-953-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 W 29TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125063",
            "telephone_number": "305-200-3853",
            "fax_number": "786-953-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY PHARMACY DISCOUNT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "FUNDORA",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "PHARMACY TECH / PRESIDENT",
        "authorized_official_telephone_number": "305-200-3853"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1057276",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Pharmacy & Discount Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 24, 2012; 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.