Dixie Pharmacy Discount Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH 26160 Issued in FL

Legal business name

DIXIE PHARMACY DISCOUNT INC

Doing business as

Dixie Pharmacy Discount Inc

Practice address

17027 S Dixie Hwy
Palmetto Bay, FL 33157-4362

Phone

(305) 233-9202

Fax

(305) 233-8310

NPI assigned

May 16, 2012

Last updated

Dec 7, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rainoa Hernandez

Title

President

Phone

(305) 233-9202

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DIXIE PHARMACY DISCOUNT INC Doing business as

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1891054417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17027 S DIXIE HWY",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331574362",
            "telephone_number": "305-233-9202",
            "fax_number": "305-233-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17027 S DIXIE HWY",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331574362",
            "telephone_number": "305-233-9202",
            "fax_number": "305-233-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXIE PHARMACY DISCOUNT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "RAINOA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-233-9202"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH 26160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5710428",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIXIE PHARMACY DISCOUNT INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gerardo Diaz, M.D
• Gianny Diaz
• Haydee Diaz
• Julio Diaz
• District Health Centers LLC
• Doctors Hospital Inc (Baptist Health Emergency Care Palmetto Bay)
• Maydelin De la Caridad Dominguez
• Daniel Dorta
• James Ryan Dougery, CRNA
• Dr Elena Coello-Jemmali Inc

• Community/Retail Pharmacy in Palmetto Bay, FL
• Providers in Palmetto Bay, 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 Dec 7, 2012; 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.