Organization Active NPI

Belen Pharmacy Group, LLC

  • Community/Retail Pharmacy
  • Hialeah, FL
National Provider Identifier
1841597671
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH25243 Issued in FL
Legal business name
BELEN PHARMACY GROUP, LLC
Doing business as
Belen Pharmacy Group
Practice address
4201 Palm Ave
Ste Aa
Hialeah, FL 33012-4424
Phone
(305) 200-3944
Fax
(305) 960-7079
NPI assigned
Feb 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Authorized official

Name
Mr. Marlow Hernandez
Title
Managing Member
Phone
(305) 200-3944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH25243 FL Primary

Addresses

Primary practice location

4201 Palm Ave
Ste Aa
Hialeah, FL 33012-4424

Mailing address

4201 Palm Ave
Ste Aa
Hialeah, FL 33012-4424
Phone (305) 200-3944

Other identifiers 2

IdentifierTypeStateIssuer
004632200MedicaidFL
5704285OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 2

  • Belen Pharmacy Group Doing business as
  • Care Med Pharmacy, LLC. Former legal business name

National Provider Directory

National Provider Directory

Locations

4201 Palm Ave
Ste Aa
Hialeah, FL 33012
Phone (305) 200-3944

NPI Registry JSON

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1841597671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 PALM AVE",
            "address_2": "STE AA",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124424",
            "telephone_number": "305-200-3944",
            "fax_number": "305-960-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 PALM AVE",
            "address_2": "STE AA",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124424",
            "telephone_number": "305-200-3944",
            "fax_number": "305-960-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELEN PHARMACY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MARLOW",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "305-200-3944",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004632200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5704285",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Belen Pharmacy Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Care Med Pharmacy, LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 18, 2019; 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.