Ebenezer Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EBENEZER PHARMACY INC

Practice address

3491 E 4TH Ave
Hialeah, FL 33013-3052

Phone

(305) 693-1104

Fax

(305) 691-4530

NPI assigned

May 29, 2014

Organization subpart

No

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

Authorized official

Name

Yuserky Jimenez

Title

President

Phone

(305) 693-1104

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1912319617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3491 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133052",
            "telephone_number": "305-693-1104",
            "fax_number": "305-691-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3491 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133052",
            "telephone_number": "305-693-1104",
            "fax_number": "305-691-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBENEZER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "YUSERKY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-693-1104"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebenezer Dental Group
• Ebenezer Family Home, Inc
• Ebenezer L&O Corporation
• Ebenezer Medical Group Inc
• Ebenezer Palace Corp
• Ecamir Medical Supplies Inc
• Othoniel Echagarruga
• David O Echavarria, PHD
• Jennifer Echazabal Ruiz
• Indira Echazabal

• 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 May 29, 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.