Malecon Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH6079 Issued in FL

Legal business name

MALECON PHARMACY INC

Practice address

5966 W 16TH Ave
Hialeah, FL 33012-6814

Phone

(305) 558-8551

Fax

(305) 558-8512

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Andrey Solovyev

Title

President

Phone

(305) 558-8551

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• MALECON PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1811034119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5966 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126814",
            "telephone_number": "305-558-8551",
            "fax_number": "305-558-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5966 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126814",
            "telephone_number": "305-558-8551",
            "fax_number": "305-558-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALECON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "SOLOVYEV",
        "authorized_official_first_name": "ANDREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-558-8551"
    },
    "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": "PH6079",
            "primary": true
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003039900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103293300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103293301",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2004325",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MALECON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Damarys Malagon, RBT
• Kenia Malagon
• Alexandra Maldonado
• Irma Eloisa Maldonado
• Steven Santos Maldonado
• Alvaro Mallet Hernandez Sr.
• Orbein Mallet-Varela, APRN
• Rosalis Malleza
• Richard Santo Mallia, D.P.M.
• Danays Mallo

• 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 Apr 7, 2016; 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.