NPIMap

Organization Active NPI

MGC Pharmacy LLC

  • Long Term Care Pharmacy
  • Hialeah, FL
National Provider Identifier
1912289547
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PH25619 Issued in FL
Legal business name
MGC PHARMACY LLC
Practice address
1516 E 4TH Ave
Hialeah, FL 33010-3159
Phone
(305) 884-7455
Fax
(305) 884-7454
NPI assigned
Sep 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Dr. Luis J Alfonso, PHARMD
Title
Clinical Pharmacy Director
Phone
(305) 884-7455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X PH25619 FL Primary

Addresses

Primary practice location

1516 E 4TH Ave
Hialeah, FL 33010-3159

Mailing address

1516 E 4TH Ave
Hialeah, FL 33010-3159
Phone (305) 884-7455

National Provider Directory

National Provider Directory
Tax ID family
MGC Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1912289547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103159",
            "telephone_number": "305-884-7455",
            "fax_number": "305-884-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103159",
            "telephone_number": "305-884-7455",
            "fax_number": "305-884-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "ALFONSO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "305-884-7455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH25619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 9, 2011; 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.