Palm Ave Pharmacy Discount Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH25882 Issued in FL

Legal business name

PALM AVE PHARMACY DISCOUNT CORPORATION

Doing business as

Palm Ave Pharmacy Discount Corp.

Practice address

1301 Palm Ave Unit 105
Hialeah, FL 33010-3461

Phone

(305) 887-7979

Fax

(305) 887-7909

NPI assigned

Jan 12, 2012

Organization subpart

No

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

Authorized official

Name

Maykel Machado

Title

President

Phone

(786) 287-7374

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PALM AVE PHARMACY DISCOUNT CORP. Doing business as

Tax ID family

Palm Ave Pharmacy Discount2 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.

• Palm Ave Pharmacy Discount

  • Pharmacist
  • Hialeah, FL
  • NPI 1396004347
  NPD tax ID

Locations

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1790055382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PALM AVE",
            "address_2": "STE #105",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103463",
            "telephone_number": "305-887-7979",
            "fax_number": "305-887-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PALM AVE UNIT 105",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103461",
            "telephone_number": "305-887-7979",
            "fax_number": "305-887-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM AVE PHARMACY DISCOUNT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "MACHADO",
        "authorized_official_first_name": "MAYKEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-287-7374"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5708726",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALM AVE PHARMACY DISCOUNT CORP.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lizandra Palenzuela
• Pedro Osniel Palenzuela
• Raydel Palet
• Hector Ivan Pallavicini, M.D.
• Palm Ave Pharmacy Discount
• Palm Avenue Dental
• Palm Avenue Phar,Macy, Inc.
• Palm Dental Center, PA (Palm Center for Dental Specialties)
• Palm Garden II ,Inc.
• Palm Garden II, Inc. (Palm Garden VI)

• 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 18, 2013; 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.