Active NPI
Belen Pharmacy Group, LLC
- Community/Retail Pharmacy
- Hialeah, FL
National Provider Identifier
1841597671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH25243
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004632200 | Medicaid | FL | |
| 5704285 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 2
- Belen Pharmacy Group
- Care Med Pharmacy, LLC.
National Provider Directory
National Provider DirectoryLocations
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.