New Pharmacy and Store Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH27566 Issued in FL

Legal business name

NEW PHARMACY AND STORE CORP

Practice address

1204 E 4TH Ave
Hialeah, FL 33010-3502

Phone

(786) 703-6580

Fax

(786) 703-6581

NPI assigned

Mar 7, 2014

Organization subpart

No

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

Authorized official

Name

Luis Marina

Title

President

Phone

(786) 703-6580

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NEW PHARMACY AND STORE CORP Doing business as

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1881010486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103502",
            "telephone_number": "786-703-6580",
            "fax_number": "786-703-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103502",
            "telephone_number": "786-703-6580",
            "fax_number": "786-703-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PHARMACY AND STORE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "MARINA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-703-6580"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH27566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144464",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW PHARMACY AND STORE CORP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Mar 7, 2014; 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.