Hialeah Medical Supplies Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH22841 Issued in FL

Legal business name

HIALEAH MEDICAL SUPPLIES CORP

Doing business as

HIALEAH MEDICAL SUPPLIES

Practice address

8325 W 24TH Ave Ste 7
Hialeah, FL 33016-1880

Phone

(305) 362-4118

Fax

(305) 362-4514

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Pedro Mangano

Title

President

Phone

(305) 362-4118

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• HIALEAH MEDICAL SUPPLIES Doing business as

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1952408163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 W 24TH AVE STE 7",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 W 24TH AVE STE 7",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161880",
            "telephone_number": "305-362-4118",
            "fax_number": "305-362-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIALEAH MEDICAL SUPPLIES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "MANGANO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-362-4118"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH22841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1033555",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIALEAH MEDICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hialeah Hospital Inc.
• Hialeah Imaging Corp
• Hialeah Kidney Dialysis LLC
• Hialeah Medical Center Corp
• Hialeah Medical Network Inc
• Hialeah Medical, Inc.
• Hialeah Medico Care, LLC
• Hialeah Mire Office Corp
• Hialeah Pathology Services, PA
• Hialeah Pharmacy Inc.

• 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 31, 2008; 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.